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Walgreens #21395
STD328092 Helping Oppressed & Marginalized Communities to Elevate, Inc.
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Covered Entity Details
Entity Name
Helping Oppressed & Marginalized Communities to Elevate, Inc.
Subdivision Name
HOME-S
Type
Sexually Transmitted Diseases
340B ID
STD328092
Entity Address
8421 Orange Blossom Trl
Ste 124
Orlando, FL 32809
Grant Number
H25PS005131
Participating Start Date
10/1/2021
Last Recertification Date
5/8/2024
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
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Preston J Queenan, President
(484) 868-4948
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/12/2023
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