340B Drug Pricing Program Database
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WALGREEN CO.
STD33168 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
North Miami
Type
Sexually Transmitted Diseases
340B ID
STD33168
Entity Address
18360 NW 47th Ave
Miami Gardens, FL 33055
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2016
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03493
9498 NW 7TH AVE
MIAMI, FL 33150
Pharmacy Comments
Contract Details
Approval Date
4/22/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
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