Contract Pharmacy Details

WALGREEN CO.
HV328051 ORANGE COUNTY HEALTH DEPARTMENT

Covered Entity Details

Entity Name

ORANGE COUNTY HEALTH DEPARTMENT

Subdivision Name

Type

Ryan White Part C

340B ID

HV328051

Entity Address

832 WEST CENTRAL BLVD
ORLANDO, FL 32805

Grant Number

H76HA00603

Participating Start Date

7/1/2001

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03745
5185 NORTH LANE
ORLANDO, FL 32808

Pharmacy Comments

Contract Details

Approval Date

4/8/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Beth A. Paterniti, Assistant Director and Deputy Health Officer
(407) 723-4064

Contract Pharmacy Representative

Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116

Signed By Date

4/8/2025

340B Drug Pricing Program Database