Contract Pharmacy Details

WALGREEN CO.
CH04170Q COLLIER HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

COLLIER HEALTH SERVICES, INC.

Subdivision Name

Health and Smiles

Type

HRSA-Funded Health Center

340B ID

CH04170Q

Entity Address

1454 Madison Ave W
Immokalee, FL 34142-2200

Grant Number

H80CS00735

Participating Start Date

7/1/2016

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 06071
38 HOMESTEAD RD N
LEHIGH ACRES, FL 33936-6646

Pharmacy Comments

Contract Details

Approval Date

10/11/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

John Fletcher, Chief Operating Officer & General Counsel
(239) 658-3060

Contract Pharmacy Representative

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

Signed By Date

10/11/2023

340B Drug Pricing Program Database