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Walgreens #21395
STD349502 Oceana Community Health Inc
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Covered Entity Details
Entity Name
Oceana Community Health Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD349502
Entity Address
2215 Nebraska Avenue
1E
Fort Pierce, FL 34950
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
5/6/2024
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
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Youssef Motii, Executive Director
(561) 543-2236
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/15/2025
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