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COMMUNITY, A WALGREENS PHARMACY
STD327636 Sirius Healthcare LLC
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Covered Entity Details
Entity Name
Sirius Healthcare LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD327636
Entity Address
296 Treemonte Drive
296
Orange City, FL 32763
Grant Number
NH25PS0051310504
Participating Start Date
1/1/2025
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
COMMUNITY, A WALGREENS PHARMACY
Pharmacy Address
2100 B NORTH ORANGE AVE
ORLANDO, FL 32804
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ramonita Perez, COO
(888) 808-1540
Contract Pharmacy Representative
Walgreens
Thomas Lindstrom, Health Systems Manager
(713) 876-5370
Signed By Date
4/4/2025
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