340B Drug Pricing Program Database
WALGREEN CO.
CH090780 Community Medical Centers, Inc. - information as of 6/25/2025 1:19:48 AM
Covered Entity Details
Entity Name
Community Medical Centers, Inc.
Subdivision Name
Community Medical Centers, Channel
Type
HRSA-Funded Health Center
340B ID
CH090780
Entity Address
701 E Channel St.
Stockton, CA 95202-2628
Grant Number
H80CS00138
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13984
1528 E FREMONT ST
STOCKTON, CA 95205
Pharmacy Comments
Contract Details
Approval Date
7/2/2012
Contract Begin Date
7/2/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID JOMAOAS, COO
(209) 373-2832
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/20/2012
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