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WALGREEN CO.
STD941031 San Francisco AIDS Foundation
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Covered Entity Details
Entity Name
San Francisco AIDS Foundation
Subdivision Name
1035 Satellite Clinic
Type
Sexually Transmitted Diseases
340B ID
STD941031
Entity Address
1035 Market Street, Suite 400
San Francisco, CA 94103
Grant Number
6NH25PS005141
Participating Start Date
4/1/2015
Last Recertification Date
5/10/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06516
5467 WILSHIRE BLVD
LOS ANGELES, CA 90036
Pharmacy Comments
Contract Details
Approval Date
7/3/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Liz Pesch, CFO
(415) 487-3045
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/3/2018
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