Contract Pharmacy Details

WALGREEN CO.
CHC11399-00 Care Resource Community Health Centers, Inc.

Covered Entity Details

Entity Name

Care Resource Community Health Centers, Inc.

Subdivision Name

Care Resource Community Health Center at Ft. Lauderdale

Type

HRSA-Funded Health Center

340B ID

CHC11399-00

Entity Address

871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731

Grant Number

H80CS12864

Participating Start Date

7/1/2009

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16331
5361 NW 22ND AVE STE 2
MIAMI, FL 33142

Pharmacy Comments

Contract Details

Approval Date

1/18/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rick Siclari, Chief Executive Officer
(305) 576-1234 Ext: 206

Contract Pharmacy Representative

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

Signed By Date

1/18/2018

340B Drug Pricing Program Database