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Walgreens #21395
STD328093 Embrace Health, Inc.
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Covered Entity Details
Entity Name
Embrace Health, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD328093
Entity Address
6220 South Orange Blossom Trail
Suite 602
Orlando, FL 32809
Grant Number
1H25PS005131
Participating Start Date
10/1/2022
Last Recertification Date
5/15/2024
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
1/4/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vickie L. Cobb-Lucien, Mrs.
(407) 259-4307
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/4/2024
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