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WALGREEN CO.
PED053305-00 LUCILE PACKARD CHILDREN'S HOSPITAL
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Covered Entity Details
Entity Name
LUCILE PACKARD CHILDREN'S HOSPITAL
Subdivision Name
Type
Children's Hospital
340B ID
PED053305-00
Entity Address
725 WELCH ROAD
PALO ALTO, CA 94304
Medicare Provider Number
053305
Participating Start Date
1/19/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03707
2100 WEBSTER STREET SUITE 105
SAN FRANCISCO, CA 94115
Pharmacy Comments
Contract Details
Approval Date
7/27/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dana Haering, Chief Financial Officer
(650) 721-2222
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/27/2018
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