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WALGREEN CO.
CHC33795-02 Monterey, County Of
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Covered Entity Details
Entity Name
Monterey, County Of
Subdivision Name
County of Monterey - Laurel Vista
Type
HRSA-Funded Health Center
340B ID
CHC33795-02
Entity Address
1441 Constitution Blvd. Bldg. 400 STE 301
Salinas, CA 93906-3134
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
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