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WALGREEN CO.
STD33130 Survivors Pathway Corporation
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Covered Entity Details
Entity Name
Survivors Pathway Corporation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33130
Entity Address
33 sw 2nd ave
ste 901
miami, FL 33130
Grant Number
NH25PS005131
Participating Start Date
8/18/2023
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03943
200 SW 13TH ST
MIAMI, FL 33130
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Francesco Duberli, Chief Executive Officer
(305) 299-1957
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2024
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