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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 SPECIALTY PHARMACY #13981
1515 N FLAGLER DR STE 120
WEST PALM BEACH, FL 33401
Pharmacy Comments
Contract Details
Approval Date
7/22/2015
Contract Begin Date
10/1/2015
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, EXECUTIVE DIRECTOR
(239) 334-9555
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/22/2015
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