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WALGREEN CO
RWI33316D CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
South Beach
Type
Ryan White Part A
340B ID
RWI33316D
Entity Address
427 Washington Ave
Miami Beach, FL 33139
Grant Number
H89HA00005
Participating Start Date
7/1/2020
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09401
15711 SW 152ND ST
MIAMI, FL 33187-5417
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
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