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WAL-MART PHARMACY 10-5854
STD331403 Latinos Salud, Inc
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Covered Entity Details
Entity Name
Latinos Salud, Inc
Subdivision Name
Miami East
Type
Sexually Transmitted Diseases
340B ID
STD331403
Entity Address
925 Arthur Godfrey Road
Suite 200
Miami Beach, FL 33140
Grant Number
NU62PS924749
Participating Start Date
10/1/2020
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5854
Pharmacy Address
8400 CORAL WAY
MIAMI, FL 33155
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen Fallon, PhD, Executive Director
(786) 310-3152
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2025
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