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WALGREEN CO.
CH04170AB COLLIER HEALTH SERVICES INC
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Covered Entity Details
Entity Name
COLLIER HEALTH SERVICES INC
Subdivision Name
Healthcare Network North (Veterans Park)
Type
HRSA-Funded Health Center
340B ID
CH04170AB
Entity Address
1845 Veterans Park Dr
Naples, FL 34109-0493
Grant Number
H80CS00735
Participating Start Date
7/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10742
30 GOLDEN GATE BLVD W
NAPLES, FL 34120
Pharmacy Comments
Contract Details
Approval Date
11/13/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
John Fletcher, Chief Operating Officer & General Counsel
(239) 658-3060
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/13/2024
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