Contract Pharmacy Details

WALGREEN CO.
RWII342371 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Tuttle

Type

Ryan White Part B

340B ID

RWII342371

Entity Address

1231 N. TUTTLE AVE
SARASOTA, FL 34237

Grant Number

X07HA00057

Participating Start Date

4/5/2011

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #09170
12600 SOUTH TAMIAMI TRAIL
NORTH PORT, FL 34287

Pharmacy Comments

Contract Details

Approval Date

10/10/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

JOSEPH MAY, PROGRAM ADMINISTRATOR
(850) 245-4444

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/10/2013

340B Drug Pricing Program Database