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Walgreens #21395
STD331392 University of Miami PrEP Clinic
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Covered Entity Details
Entity Name
University of Miami PrEP Clinic
Subdivision Name
Rapid Access Wellness Providing PrEP and Sexual Health Services
Type
Sexually Transmitted Diseases
340B ID
STD331392
Entity Address
1669 Collins Ave
Miami Beach, FL 33139
Grant Number
6-NU62PS924532-03-02
Participating Start Date
1/1/2021
Last Recertification Date
5/10/2023
Entity Termination Date
1/1/2024
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
10/15/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Susanne Doblecki-Lewis, Professor of Clinical Medicine and Chief, Division of Infectious Diseases
(305) 243-7652
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2022
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