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WALGREEN CO
STD334303 FLEX 4 MEDICAL CENTER CORP.
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Covered Entity Details
Entity Name
FLEX 4 MEDICAL CENTER CORP.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334303
Entity Address
145 N. MAINSTREET
Suite 103
BELLE GLADE, FL 33430
Grant Number
NH25PS005131
Participating Start Date
12/11/2020
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09956
300 W SUGARLAND HWY
CLEWISTON, FL 33440-3318
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renal Roberty, President
(561) 560-7373
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/17/2023
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