Contract Pharmacy Details

WALGREEN CO.
STD328353 Positive Assistance, Inc.

Covered Entity Details

Entity Name

Positive Assistance, Inc.

Subdivision Name

Orlando Gastroenterology, PA

Type

Sexually Transmitted Diseases

340B ID

STD328353

Entity Address

1507 S Hiawassee Rd
Suite 105
Orlando, FL 32835

Grant Number

NU62PS924532-02

Participating Start Date

7/1/2022

Last Recertification Date

5/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 16051
699 E HIGHWAY 50
CLERMONT, FL 34711

Pharmacy Comments

Contract Details

Approval Date

7/10/2023

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

7/10/2023

340B Drug Pricing Program Database