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Walgreens #21395
STD334622 Life Resources, LLC
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Covered Entity Details
Entity Name
Life Resources, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334622
Entity Address
5401 South Congress Ave
201
Atlantis, FL 33462
Grant Number
NH25PS004342
Participating Start Date
1/1/2025
Last Recertification Date
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
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Craig Arenstein, CEO/President
(561) 234-6599
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2025
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