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WALGREEN CO.
STD327921 Hope and Help Center of Central Florida, Inc
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc
Subdivision Name
Hope and Help Center of Central Florida, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD327921
Entity Address
4122 Metric Dr.
Suite 800
Winter Park, FL 32792-6809
Grant Number
NU62PS924741
Participating Start Date
4/1/2017
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03811
4502 S ORANGE BLOSSOM TRAIL
ORLANDO, FL 32839-1704
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Pharmacy closed
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
4/16/2018
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