340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walgreens #21395
FQHCLA453 Florida Atlantic University
Print
Covered Entity Details
Entity Name
Florida Atlantic University
Subdivision Name
FAU/NCHA Westgate Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA453
Entity Address
1650 Osceola Dr
West Palm Beach, FL 33409-5038
Grant Number
LALCS41899
Participating Start Date
1/1/2024
Last Recertification Date
2/18/2025
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
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karethy Ann Edwards, CEO
(561) 334-3751
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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