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WALGREEN CO.
CHC24174-00 RURAL HEALTH NETWORK OF MONROE COUNTY FLORIDA, INC
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Covered Entity Details
Entity Name
RURAL HEALTH NETWORK OF MONROE COUNTY FLORIDA, INC
Subdivision Name
Lower Keys Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24174-00
Entity Address
3706 North Roosevelt Blvd.,
Suite G
Key West, FL 33040
Grant Number
H80CS24174
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07089
527 DUVAL STREET
KEY WEST, FL 33040
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel E. Smith, President & CEO
(305) 517-6613
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2016
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