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Walgreens #21395
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
Walgreens #21395
Pharmacy Address
Walgreens Central Fill #21395
5710 Young Pine Rd
Orlando, FL 32829
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/18/2023
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