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WALGREEN CO.
CH092535K SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
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Covered Entity Details
Entity Name
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
Subdivision Name
Gilroy Health Center
Type
HRSA-Funded Health Center
340B ID
CH092535K
Entity Address
9460 NO NAME UNO
Gilroy, CA 95020-3536
Grant Number
H80CS06646
Participating Start Date
4/1/2016
Last Recertification Date
1/27/2020
Entity Termination Date
1/1/2021
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #09516
770 1ST ST
GILROY, CA 95020
Pharmacy Comments
Contract Details
Approval Date
1/3/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Salvador Chavarin, Chief Executive Officer
(408) 729-4290
Contract Pharmacy Representative
Walgreens
Ted Kountouris, Regional Manager
(626) 806-1853
Signed By Date
1/3/2020
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