340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FP92706 AIDS Services Foundation Orange County dba Radiant Health Centers
Print
Covered Entity Details
Entity Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
AIDS Services Foundation Orange County
Type
Family Planning (Title X only)
340B ID
FP92706
Entity Address
2708 Westminster Avenue
110
Santa Ana, CA 92706
Grant Number
FPHPA006470
Participating Start Date
1/1/2019
Last Recertification Date
5/29/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10397
1715 N BRISTOL ST
SANTA ANA, CA 92706
Pharmacy Comments
Contract Details
Approval Date
10/19/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/14/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Guita Sharifi, CFO
(949) 809-5753
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session