Contract Pharmacy Details

WALGREEN CO.
RWII327921E Hope and Help Center of Central Florida, Inc.

Covered Entity Details

Entity Name

Hope and Help Center of Central Florida, Inc.

Subdivision Name

Piñero Preventive Medical Care

Type

Ryan White Part B

340B ID

RWII327921E

Entity Address

1720 Orange Avenue
Suite 200
Orlando, FL 32806

Grant Number

X07HA00057

Participating Start Date

4/1/2018

Last Recertification Date

1/29/2020

Entity Termination Date

4/1/2021

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03745
5185 NORTH LANE
ORLANDO, FL 32808

Pharmacy Comments

Contract Details

Approval Date

4/3/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2021
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Lisa Barr, Executive Director
(407) 645-2577 Ext: 121

Contract Pharmacy Representative

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

Signed By Date

4/3/2018

340B Drug Pricing Program Database