Contract Pharmacy Details

WALGREEN CO.
CH041294A NORTH BROWARD HOSPITAL DISTRICT

Covered Entity Details

Entity Name

NORTH BROWARD HOSPITAL DISTRICT

Subdivision Name

SPECIALTY CARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH041294A

Entity Address

1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638

Grant Number

H80CS00019

Participating Start Date

10/1/1998

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04387
2104 W OAKLAND PARK BLVD
OAKLAND PARK, FL 33311

Pharmacy Comments

Contract Details

Approval Date

4/18/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/29/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Romaine Kamara Layne, Chief Financial Officer
(954) 473-7431

Contract Pharmacy Representative

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

Signed By Date

4/18/2023

340B Drug Pricing Program Database