Contract Pharmacy Details

WALGREEN CO.
FQHCLA002C COUNTY OF MONTEREY

Covered Entity Details

Entity Name

COUNTY OF MONTEREY

Subdivision Name

Alisal Health Center

Type

Health Center Program Look-Alike

340B ID

FQHCLA002C

Entity Address

559 E Alisal Street, Suite 201
Salinas, CA 93905

Grant Number

LALCS00049

Participating Start Date

10/1/2001

Last Recertification Date

1/31/2019

Entity Termination Date

4/1/2020

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07081
416 ALVARADO ST
MONTEREY, CA 93940

Pharmacy Comments

Contract Details

Approval Date

4/11/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/11/2014

340B Drug Pricing Program Database