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WALGREEN CO.
CHC33795-04 Monterey, County Of
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Covered Entity Details
Entity Name
Monterey, County Of
Subdivision Name
County of Monterey Integrated Health Clinic
Type
HRSA-Funded Health Center
340B ID
CHC33795-04
Entity Address
299 12th St
Marina, CA 93933-6003
Grant Number
H80CS33795
Participating Start Date
1/1/2020
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07081
416 ALVARADO ST
MONTEREY, CA 93940
Pharmacy Comments
Contract Details
Approval Date
11/19/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
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
11/19/2019
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