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Walgreens #21395
CH041750 SUNCOAST COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH041750
Entity Address
820 15th ST SE
Ruskin, FL 33570
Grant Number
H80CS00541
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
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
1/4/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bradley Herremans, CEO
(813) 653-6268
Contract Pharmacy Representative
Suncoast Community Health Centers, Inc.
Bradley Herremans, CEO
(813) 653-6268
Signed By Date
1/4/2023
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