340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TOTAL HEALTHCARE ALLIANCE LLC
FQHCLA335AL LEE MEMORIAL HEALTH SYSTEM
Print
Covered Entity Details
Entity Name
LEE MEMORIAL HEALTH SYSTEM
Subdivision Name
Dunbar Medical Office
Type
Health Center Program Look-Alike
340B ID
FQHCLA335AL
Entity Address
3637 Dr. Martin Luther King Jr. Blvd.
Fort Myers, FL 33916-4601
Grant Number
LALCS00171
Participating Start Date
7/1/2023
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
TOTAL HEALTHCARE ALLIANCE LLC
Pharmacy Address
SOZO WELLNESS PHARMACY
3510 DR MARTIN LUTHER KING BLVD STE 1
FORT MYERS, FL 33916-4608
Pharmacy Comments
Contract Details
Approval Date
1/8/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert Johns, Executive Director for Lee Community Healthcare
(239) 834-9998
Contract Pharmacy Representative
Sozo Wellness Pharmacy
Shadreka McIntosh, Owner
(239) 488-2580
Signed By Date
1/8/2024
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