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WALGREEN CO.
CH04021E CENTRAL FLORIDA HEALTH CARE, INC.
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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 # 04399
2425 US HWY 92 E
LAKELAND, FL 33801
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
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