Contract Pharmacy Details

WALGREEN CO.
RWII342371K CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Pensacola

Type

Ryan White Part B

340B ID

RWII342371K

Entity Address

8390 N Palafox St.
Pensacola, FL 32534

Grant Number

X07HA00057

Participating Start Date

7/1/2020

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #15616
5149 N 9TH AVE STE 1137
PENSACOLA, FL 32504

Pharmacy Comments

Contract Details

Approval Date

7/26/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

7/26/2024

340B Drug Pricing Program Database