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WALGREEN CO.
CH0414900 HEALTH, FLORIDA DEPARTMENT OF
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Covered Entity Details
Entity Name
HEALTH, FLORIDA DEPARTMENT OF
Subdivision Name
NCCHC Spring Hill Campus
Type
HRSA-Funded Health Center
340B ID
CH0414900
Entity Address
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Grant Number
H80CS06444
Participating Start Date
7/1/2007
Last Recertification Date
1/26/2017
Entity Termination Date
7/1/2017
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12391
4096 MARINER BLVD
SPRING HILL, FL 34609
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robin Napier, ADMINISTRATOR
(352) 540-6800 Ext: 82111
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2016
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