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WALGREEN CO.
STD32534 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Pensacola
Type
Sexually Transmitted Diseases
340B ID
STD32534
Entity Address
8390 N Palafox St.
Pensacola, FL 32534
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2020
Last Recertification Date
5/27/2024
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
7/27/2024
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
7/27/2024
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