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WALGREEN CO.
STD333112 WellView Care
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Covered Entity Details
Entity Name
WellView Care
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333112
Entity Address
906 WEST SUNRISE BLVD
A
Fort Lauderdale, FL 33311
Grant Number
NH25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #21194
901 45TH ST.
MANGONIA PARK, FL 33407-2413
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adolfo Lorenzo, President
(305) 491-3600
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2023
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