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WALGREEN CO.
CH041294A NORTH BROWARD HOSPITAL DISTRICT
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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 # 04569
3895 W BROWARD BLVD
FORT LAUDERDALE, FL 33312-1017
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Romaine Kamara Layne, Chief Financial Officer
(954) 473-7431
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/18/2023
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