Contract Pharmacy Details

Walgreens #21395
STD334303 FLEX 4 MEDICAL CENTER CORP.

Covered Entity Details

Entity Name

FLEX 4 MEDICAL CENTER CORP.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD334303

Entity Address

145 N. MAINSTREET
Suite 103
BELLE GLADE, FL 33430

Grant Number

NH25PS005131

Participating Start Date

12/11/2020

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

7/17/2023

Contract Begin Date

7/18/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Renal Roberty, President
(561) 560-7373

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/17/2023

340B Drug Pricing Program Database