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Walgreens #21395
STD331365 University of Miami
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Covered Entity Details
Entity Name
University of Miami
Subdivision Name
Pathway to Wellness Clinic
Type
Sexually Transmitted Diseases
340B ID
STD331365
Entity Address
1120 NW 14th St
860
Miami, FL 33136
Grant Number
6-NU62PS924532-03-02
Participating Start Date
10/1/2023
Last Recertification Date
5/13/2024
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
9/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hansel Tookes, Assistant Professor of Clinical Medicine
(305) 243-1615
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2023
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