340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens #21395
DSH100086 BROWARD HEALTH NORTH
Print
Covered Entity Details
Entity Name
BROWARD HEALTH NORTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100086
Entity Address
201 EAST SAMPLE ROAD
DEERFIELD BEACH, FL 33064
Medicare Provider Number
100086
Participating Start Date
7/1/2022
Last Recertification Date
8/22/2024
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
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ivory Jan Monroe, Interim CFO
(954) 297-9049
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2023
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