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WALGREEN CO.
FQHCLA356C WHOLE FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
WHOLE FAMILY HEALTH CENTER, INC.
Subdivision Name
WFHC Mobile Medical Unit
Type
Health Center Program Look-Alike
340B ID
FQHCLA356C
Entity Address
827 18th Street
Vero Beach, FL 32960
Grant Number
LALCS31468
Participating Start Date
7/1/2024
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04642
5755 20TH STREET
VERO BEACH, FL 32966
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marie Andress, CEO
(772) 925-8200
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/9/2024
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