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WALGREEN CO.
CHC33648-00 YEHOWA MEDICAL SERVICES
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Covered Entity Details
Entity Name
YEHOWA MEDICAL SERVICES
Subdivision Name
Yehowa Medical Services - South Gate
Type
HRSA-Funded Health Center
340B ID
CHC33648-00
Entity Address
5720 IMPERIAL HWY
N-O
SOUTH GATE, CA 90280-7518
Grant Number
H80CS33648
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06974
3331 WEST CENTURY BLVD
INGLEWOOD, CA 90303
Pharmacy Comments
Contract Details
Approval Date
1/7/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Tweh, Chief Executive Officer
(323) 776-1500 Ext: 1000
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2020
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