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WALGREEN CO.
CH0418990 PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
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Covered Entity Details
Entity Name
PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Subdivision Name
PRIMARY CARE MEDICAL SERVICES OF POINCIA
Type
HRSA-Funded Health Center
340B ID
CH0418990
Entity Address
1877 Fortune Rd
Kissimmee, FL 34744-4428
Grant Number
H80CS30749
Participating Start Date
1/1/2009
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15300
2100 N ORANGE AVE STE B
ORLANDO, FL 32804
Pharmacy Comments
Contract Details
Approval Date
1/9/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
BELINDA JOHNSON-CORNETT, ADMINISTRATOR
(407) 343-2020
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2014
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