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WALGREEN CO.
CH09321A Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC Family Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321A
Entity Address
344 E 6th St
Madera, CA 93638-3631
Grant Number
H80CS00143
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06453
1300 W YOSEMITE AVE
MADERA, CA 93637
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2015
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