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WALGREEN CO.
FQHCLA407F Metropolitan Charities, Inc.
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Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
METRO Brandon
Type
Health Center Program Look-Alike
340B ID
FQHCLA407F
Entity Address
302 Bryan Rd
Brandon, FL 33511-5337
Grant Number
LALCS35348
Participating Start Date
10/16/2023
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12673
2916 E. FLETCHER AVE.
TAMPA, FL 33612
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2025
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