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Walgreens #21395
STD331685 THE COMMUNITY HEALTH AND EMPOWERMENT NETWORK INC
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Covered Entity Details
Entity Name
THE COMMUNITY HEALTH AND EMPOWERMENT NETWORK INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331685
Entity Address
809 NW 119th Street
North Miami, FL 33168
Grant Number
NH25PS005131
Participating Start Date
3/14/2022
Last Recertification Date
5/29/2024
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
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Micaelle Titus, Executive Director
(786) 407-0308
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2024
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