Contract Pharmacy Details

WALGREEN CO.
CH040370 FLORIDA CHC'S, INC.

Covered Entity Details

Entity Name

FLORIDA CHC'S, INC.

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH040370

Entity Address

5827 CORPORATE WAY
WEST PALM BEACH, FL 33407

Grant Number

H80CS00798

Participating Start Date

12/1/1992

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04075
100 NW PARK STREET
OKEECHOBEE, FL 34972

Pharmacy Comments

Contract Details

Approval Date

4/9/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

KATHY AMATO, VICE PRESIDENT & CFO
(561) 844-9443 Ext: 311

Contract Pharmacy Representative

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

Signed By Date

4/9/2013

340B Drug Pricing Program Database