340B Drug Pricing Program Database
WALGREEN CO.
CHC28994-00 SAN FERNANDO COMMUNITY HOSPITAL - information as of 5/6/2025 12:08:34 AM
Covered Entity Details
Entity Name
SAN FERNANDO COMMUNITY HOSPITAL
Subdivision Name
San Fernando Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28994-00
Entity Address
732 Mott Street, Suite 100
San Fernando, CA 91340-4237
Grant Number
H80CS28994
Participating Start Date
1/1/2016
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15930
2050 GLENOAKS BLVD
SAN FERNANDO, CA 91340
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Audrey L Simons, CEO
(818) 963-5690 Ext: 107
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2025
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