340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH04037G FLORIDA COMMUNITY HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
FLORIDA COMMUNITY HEALTH CENTER INC
Subdivision Name
PORT ST. LUCIE ADULT AND SENIOR HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04037G
Entity Address
1701 S.E. HILLMOOR DR. STE 19
PORT ST. LUCIE, FL 34952
Grant Number
H80CS00798
Participating Start Date
10/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03110
692 SW PRIMA VISTA BLVD
PORT ST LUCIE, FL 34983
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session