340B Drug Pricing Program Database
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Walgreens #21395
STD34116 Positive Assistance, INC.
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Covered Entity Details
Entity Name
Positive Assistance, INC.
Subdivision Name
True Health Medical and Wellness Center
Type
Sexually Transmitted Diseases
340B ID
STD34116
Entity Address
5262 Golden Gate Pkwy
Suite 2
Naples, FL 34116
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2024
Last Recertification Date
5/29/2024
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
4/4/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2024
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