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WALGREEN CO.
CHC12859 HEART OF FLORIDA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HEART OF FLORIDA HEALTH CENTER, INC.
Subdivision Name
Heart of Florida Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12859
Entity Address
1025 SW 1st Avenue
Ocala, FL 34471-0900
Grant Number
H80CS12859
Participating Start Date
10/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01724
4899 NW BLITCHTON RD
OCALA, FL 34482
Pharmacy Comments
Contract Details
Approval Date
1/19/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherri Lewis, CEO
(352) 732-6599 Ext: 209
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/19/2016
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