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WALGREEN CO.
CH09107C SF COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
CASTRO-MISSION HEALTH CENTER - HEALTH CENTER #1
Type
HRSA-Funded Health Center
340B ID
CH09107C
Entity Address
3850 17TH ST
SAN FRANCISCO, CA 94114
Grant Number
H80CS00049
Participating Start Date
1/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #09886
3400 CESAR CHAVEZ
SAN FRANCISCO, CA 94110
Pharmacy Comments
Contract Details
Approval Date
10/15/2010
Contract Begin Date
11/3/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/8/2010
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