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WALGREEN CO
CHC26589-00 CENTER FOR FAMILY AND CHILD ENRICHMENT, INC., THE
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Covered Entity Details
Entity Name
CENTER FOR FAMILY AND CHILD ENRICHMENT, INC., THE
Subdivision Name
Center for Family and Child Enrichment
Type
HRSA-Funded Health Center
340B ID
CHC26589-00
Entity Address
1825 NW 167th St
Miami Gardens, FL 33056-4838
Grant Number
H80CS26589
Participating Start Date
10/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16297
9400 NORTHWEST 12TH AVE BAY 5
MIAMI, FL 33150
Pharmacy Comments
Contract Details
Approval Date
4/16/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Delores Dunn, CEO
(305) 474-1794
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/16/2015
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