Contract Pharmacy Details

WALGREEN CO.
CH04431AD MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

Arcadia Family Optometry Center

Type

HRSA-Funded Health Center

340B ID

CH04431AD

Entity Address

122 N Brevard Ave
Arcadia, FL 34266-4404

Grant Number

H80CS00097

Participating Start Date

4/1/2013

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07106
5896 CORTEZ ROAD WEST
BRADENTON, FL 34210

Pharmacy Comments

Contract Details

Approval Date

7/15/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MONICA RIDER, Chief Medical Officer
(941) 999-0310

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/15/2024

340B Drug Pricing Program Database