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WALGREENS SPECIALTY PHARMACY, LLC
CHC08739-27 Aria Community Health Center
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Covered Entity Details
Entity Name
Aria Community Health Center
Subdivision Name
Aria Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08739-27
Entity Address
858 N Cherry St Ste F
Tulare, CA 93274-2243
Grant Number
H80CS08739
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
11/7/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Blaine, CEO
(559) 386-4500 Ext: 1010
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/5/2019
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