Contract Pharmacy Details

WALGREEN CO.
CH04021E CENTRAL FLORIDA HEALTH CARE, INC.

Covered Entity Details

Entity Name

CENTRAL FLORIDA HEALTH CARE, INC.

Subdivision Name

CFHC Lakeland Primary Care

Type

HRSA-Funded Health Center

340B ID

CH04021E

Entity Address

1129 N Missouri Ave
Lakeland, FL 33805-4411

Grant Number

H80CS00423

Participating Start Date

4/1/2009

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 05327
6985 S FLORIDA AVE
LAKELAND, FL 33813

Pharmacy Comments

Contract Details

Approval Date

1/11/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/8/2022
Agreement registered in error

Contacts

Covered Entity Signing Official

ANN CLAUSSEN, CEO
(863) 291-5115

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/11/2018

340B Drug Pricing Program Database