Contract Pharmacy Details

WALGREENS SPECIALTY PHARMACY, LLC
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

WALGREENS SPECIALTY PHARMACY, LLC

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188

Pharmacy Comments

Contract Details

Approval Date

7/28/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/13/2018
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

7/28/2014

340B Drug Pricing Program Database