Contract Pharmacy Details

WALGREEN CO.
STD333053 Latinos Salud, Inc.

Covered Entity Details

Entity Name

Latinos Salud, Inc.

Subdivision Name

Broward

Type

Sexually Transmitted Diseases

340B ID

STD333053

Entity Address

1401 NE 26th Street
Wilton Manors, FL 33305-1321

Grant Number

2 NU62PS924749-02-00

Participating Start Date

4/17/2020

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04387
2104 W OAKLAND PARK BLVD
OAKLAND PARK, FL 33311

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

340B Drug Pricing Program Database