340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TOTAL HEALTHCARE ALLIANCE LLC
FQHCLA335 LEE MEMORIAL HEALTH SYSTEM
Print
Covered Entity Details
Entity Name
LEE MEMORIAL HEALTH SYSTEM
Subdivision Name
North Fort Myers Medical Office
Type
Health Center Program Look-Alike
340B ID
FQHCLA335
Entity Address
13279 N CLEVELAND AVE
NORTH FORT MYERS, FL 33903-4818
Grant Number
LALCS00171
Participating Start Date
7/1/2015
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
TOTAL HEALTHCARE ALLIANCE LLC
Pharmacy Address
SOZO WELLNESS PHARMACY
3510 DR MARTIN LUTHER KING BLVD STE 1
FORT MYERS, FL 33916-4608
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert Johns, Executive Director for Lee Community Healthcare
(239) 834-9998
Contract Pharmacy Representative
Sozo Wellness Pharmacy
Shadreka McIntosh, Owner
(239) 488-2580
Signed By Date
10/14/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session