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WALGREEN CO.
STD328087 Comprehensive Health Center, LLC
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Covered Entity Details
Entity Name
Comprehensive Health Center, LLC
Subdivision Name
Comprehensive Health Of Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328087
Entity Address
1011 W Oakridge Road
Orlando, FL 32809
Grant Number
NH25P5004342-04-01
Participating Start Date
10/1/2018
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #13630
1301 SECOND AVE, S.W. SUITE 200
LARGO, FL 33770
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Ballantine, Executive Director
(305) 688-0811
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/4/2022
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