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WALGREEN CO.
STD334451 Monarch Health Services Inc
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Covered Entity Details
Entity Name
Monarch Health Services Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334451
Entity Address
14000 S Military Trail
STE 110
DELRAY BEACH, FL 33484
Grant Number
NH25PS005131
Participating Start Date
12/22/2020
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21246
168 N POWERLINE RD STE 200
POMPANO BEACH, FL 33069
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Damion Baker, CEO
(561) 374-2984
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/3/2022
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