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Walgreens #21395
STD3280611 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
Sunshine Specialty Health Care
Type
Sexually Transmitted Diseases
340B ID
STD3280611
Entity Address
2884 S Osceola Avenue
Orlando, FL 32806
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2022
Last Recertification Date
5/10/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
Walgreens #21395
Pharmacy Address
Walgreens Central Fill #21395
5710 Young Pine Rd
Orlando, FL 32829
Pharmacy Comments
Contract Details
Approval Date
10/1/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/1/2022
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