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WALGREEN CO.
CH04170AC COLLIER HEALTH SERVICES INC
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Covered Entity Details
Entity Name
COLLIER HEALTH SERVICES INC
Subdivision Name
Healthcare Network - Mobile Outreach 1
Type
HRSA-Funded Health Center
340B ID
CH04170AC
Entity Address
1454 Madison Ave W
Immokalee, FL 34142-2200
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 # 02542
7301 RADIO ROAD
NAPLES, FL 34104
Pharmacy Comments
Contract Details
Approval Date
11/13/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
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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