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Walgreens #21395
CH025320 FREDERIKSTED HEALTH CARE INC
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Covered Entity Details
Entity Name
FREDERIKSTED HEALTH CARE INC
Subdivision Name
FREDERIKSTED HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CH025320
Entity Address
516 Strand St
Frederiksted, VI 00840-3533
Grant Number
H80CS00372
Participating Start Date
4/1/2001
Last Recertification Date
2/21/2025
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
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Masserae Sprauve Webster, Chief Executive Officer
(340) 772-1992 Ext: 2132
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/9/2025
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