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WALGREEN CO.
RWI333114A NORTH BROWARD HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
Broward Health Cora E. Braynon Family Health Center
Type
Ryan White Part A
340B ID
RWI333114A
Entity Address
200 NORTHWEST 7TH AVE
FORT LAUDERDALE, FL 33311
Grant Number
H89HA00002
Participating Start Date
7/1/2001
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04387
2104 W OAKLAND PARK BLVD
OAKLAND PARK, FL 33311
Pharmacy Comments
Contract Details
Approval Date
4/20/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Beth A Cherry, Vice President
(954) 473-3076
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/20/2018
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