340B Drug Pricing Program Database
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WALGREEN CO.
STD336113 PREVENTION 305, Inc.
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Covered Entity Details
Entity Name
PREVENTION 305, Inc.
Subdivision Name
PREVENTION 813
Type
Sexually Transmitted Diseases
340B ID
STD336113
Entity Address
3317 West Gandy Blvd
Tampa, FL 33611
Grant Number
NH25PS005131
Participating Start Date
4/1/2024
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05451
315 W. PLATT STREET
TAMPA, FL 33606
Pharmacy Comments
Contract Details
Approval Date
2/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick Whiteside, Chief Executive Officer
(866) 773-7305 Ext: 100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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