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WALGREEN CO.
CHC26609-00 RITTER CENTER
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Covered Entity Details
Entity Name
RITTER CENTER
Subdivision Name
Ritter Center
Type
HRSA-Funded Health Center
340B ID
CHC26609-00
Entity Address
16 Ritter St
San Rafael, CA 94901-3323
Grant Number
H80CS26609
Participating Start Date
10/1/2019
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07445
820 SIR FRANCIS DRAKE BLVD
SAN ANSELMO, CA 94960
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Shotwell, Executive Director
(415) 457-8182 Ext: 125
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2019
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