340B Drug Pricing Program Database
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WALGREEN CO.
STD331253 Florida Department of Health
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Covered Entity Details
Entity Name
Florida Department of Health
Subdivision Name
Miami Dade Health District Center STD PreP Clinic
Type
Sexually Transmitted Diseases
340B ID
STD331253
Entity Address
1350 N.W. 14 Street
Miami, FL 33125
Grant Number
6NH25PS005131
Participating Start Date
7/1/2017
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #15106
1250 NW 7TH STREET SUITE 205
MIAMI, FL 33125
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
Maribel A Zayas, Chief Financial Officer
(786) 845-0137
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/15/2025
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