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WALGREEN CO
HV12909 THE MCGREGOR CLINIC
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Covered Entity Details
Entity Name
THE MCGREGOR CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV12909
Entity Address
3487 Broadway
FORT MYERS, FL 33901
Grant Number
H76HA12909
Participating Start Date
1/1/2011
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10964
10672 COLONIAL BLVD
FORT MYERS, FL 33913
Pharmacy Comments
Contract Details
Approval Date
1/16/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SHARON MURPHY, CEO / DIRECTOR
(239) 334-9555 Ext: 8018
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/17/2013
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