340B Drug Pricing Program Database
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WALGREEN CO.
HV46010 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Daytona Beach
Type
Ryan White Part C
340B ID
HV46010
Entity Address
1125 N. Nova Rd
Daytona Beach, FL 32117
Grant Number
H76HA46010
Participating Start Date
1/1/2023
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03931
3010 S RIDGEWOOD AVE
EDGEWATER, FL 32141-5903
Pharmacy Comments
Contract Details
Approval Date
10/27/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/27/2023
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