Contract Pharmacy Details

WALGREEN CO.
STD34221 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Palmetto

Type

Sexually Transmitted Diseases

340B ID

STD34221

Entity Address

408 7th St. W
Palmetto, FL 34221

Grant Number

6 NH25PS005131-02-02

Participating Start Date

1/1/2021

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05575
5800 BEE RIDGE ROAD
SARASOTA, FL 34233-5067

Pharmacy Comments

Contract Details

Approval Date

1/21/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/21/2024

340B Drug Pricing Program Database