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WALGREENS SPECIALTY PHARMACY, LLC
STD891046 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Las Vegas
Type
Sexually Transmitted Diseases
340B ID
STD891046
Entity Address
1820 E. Sahara Ave.
Suite 201
Las Vegas, NV 89104
Grant Number
NH25PS005179-05-02
Participating Start Date
1/1/2024
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
11/9/2023
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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