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WALGREEN CO.
CH044245C PANCARE OF FLORIDA, INC.
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Covered Entity Details
Entity Name
PANCARE OF FLORIDA, INC.
Subdivision Name
PanCare Health - Panama City
Type
HRSA-Funded Health Center
340B ID
CH044245C
Entity Address
2309 EAST 15TH STREET
PANAMA CITY, FL 32405
Grant Number
H80CS06452
Participating Start Date
10/1/2006
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06978
4582 E HIGHWAY 20
NICEVILLE, FL 32578-9724
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael R. Hill, President/CEO
(850) 747-5599
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2022
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