Contract Pharmacy Details

WALGREEN CO.
STD347419 Positive Assistance, Inc.

Covered Entity Details

Entity Name

Positive Assistance, Inc.

Subdivision Name

NU HEALTHCARE INC.

Type

Sexually Transmitted Diseases

340B ID

STD347419

Entity Address

1016 Mann St
Kissimmee, FL 34741

Grant Number

5NU62PS924532-02

Participating Start Date

7/1/2023

Last Recertification Date

5/20/2024

Entity Termination Date

7/1/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06568
2274 FORTUNE RD
KISSIMMEE, FL 34744

Pharmacy Comments

Contract Details

Approval Date

7/7/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Andre J Antenor, President
(863) 242-3322

Contract Pharmacy Representative

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

Signed By Date

7/7/2023

340B Drug Pricing Program Database