Contract Pharmacy Details

WALGREEN CO.
STD33713 Metropolitan Charities, Inc.

Covered Entity Details

Entity Name

Metropolitan Charities, Inc.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD33713

Entity Address

701 94th Avenue North
Suite 250
Saint Petersburg, FL 33702

Grant Number

NU62PS924698

Participating Start Date

5/15/2023

Last Recertification Date

5/9/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05451
315 W. PLATT STREET
TAMPA, FL 33606

Pharmacy Comments

Contract Details

Approval Date

5/15/2023

Contract Begin Date

6/12/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/11/2023

340B Drug Pricing Program Database