Contract Pharmacy Details

WALGREEN CO.
CH04170AB COLLIER HEALTH SERVICES INC

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 # 06775
15295 COLLIER BLVD
NAPLES, FL 34119-7715

Pharmacy Comments

Contract Details

Approval Date

12/19/2024

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

12/19/2024

340B Drug Pricing Program Database