340B Drug Pricing Program Database
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WALGREEN CO.
STD328353 Positive Assistance, Inc.
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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
5NU62PS924532-02
Participating Start Date
7/1/2022
Last Recertification Date
5/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA:TEAM CARE
5881 TURKEY LAKE RD STE B2-02
ORLANDO, FL 32819-7747
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
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