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WALGREENS MAIL SERVICE, INC.
FQHCLA002C COUNTY OF MONTEREY
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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
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
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
1/4/2017
Business decision by covered entity and/or pharmacy
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
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