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Walgreens #21395
STD33487 Life Resources LLC
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Covered Entity Details
Entity Name
Life Resources LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33487
Entity Address
1157 S. State Road 7
Wellington, FL 33414
Grant Number
NH25PS004342
Participating Start Date
4/1/2021
Last Recertification Date
5/6/2024
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
10/2/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Craig Arenstein, CEO/President
(561) 234-6599
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2022
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