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Walgreens #21395
STD33014 Positive Assistance, INC.
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Covered Entity Details
Entity Name
Positive Assistance, INC.
Subdivision Name
Pierre-Richard Edouard, MD, PA
Type
Sexually Transmitted Diseases
340B ID
STD33014
Entity Address
16161 NW 57TH AVENUE
Miami Lakes, FL 33014
Grant Number
5NU62PS924532-02
Participating Start Date
4/1/2023
Last Recertification Date
5/20/2024
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
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
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
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