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Walgreens #21395
STD33460 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Lake Worth
Type
Sexually Transmitted Diseases
340B ID
STD33460
Entity Address
201 N. Dixie Highway
Lake Worth, FL 33460
Grant Number
6 NH25PS005131-02-02
Participating Start Date
4/1/2021
Last Recertification Date
5/27/2024
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
7/16/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2023
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