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Walgreens #21395
CH04170AE COLLIER HEALTH SERVICES INC
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Covered Entity Details
Entity Name
COLLIER HEALTH SERVICES INC
Subdivision Name
Healthcare Network Badra Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH04170AE
Entity Address
9160 Galleria Ct
Naples, FL 34109-4343
Grant Number
H80CS00735
Participating Start Date
1/1/2025
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
Walgreens #21395
Pharmacy Address
Walgreens Central Fill #21395
5710 Young Pine Rd
Orlando, FL 32829
Pharmacy Comments
Contract Details
Approval Date
1/10/2025
Contract Begin Date
4/1/2025
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
1/10/2025
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