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WALGREEN CO.
CH090720 NORTH COUNTY HEALTH PROJECT, INC
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Covered Entity Details
Entity Name
NORTH COUNTY HEALTH PROJECT, INC
Subdivision Name
TrueCare
Type
HRSA-Funded Health Center
340B ID
CH090720
Entity Address
150 Valpreda Road
San Marcos, CA 92069-2973
Grant Number
H80CS00228
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: DOMINGUEZ, A WALGREENS PHARMACY
2055 N PERRIS BLVD SUITE A1
PERRIS, CA 92571
Pharmacy Comments
Contract Details
Approval Date
4/14/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
IRMA COTA, CEO
(760) 736-6755
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2016
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