Contract Pharmacy Details

WALGREEN CO.
CHC33795-01 Monterey, County Of

Covered Entity Details

Entity Name

Monterey, County Of

Subdivision Name

Monterey County Clinic at Marina

Type

HRSA-Funded Health Center

340B ID

CHC33795-01

Entity Address

3155 De Forest Rd
Marina, CA 93933-2702

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 # 04997
226 RESERVATION RD.
MARINA, CA 93933

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

340B Drug Pricing Program Database