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WALGREEN CO.
CH0911800 SHINGLETOWN MEDICAL CENTER
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Covered Entity Details
Entity Name
SHINGLETOWN MEDICAL CENTER
Subdivision Name
SHINGLETOWN MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH0911800
Entity Address
31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Grant Number
H80CS01440
Participating Start Date
7/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04243
980 E CYPRESS AVE
REDDING, CA 96002
Pharmacy Comments
Contract Details
Approval Date
4/20/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tami Fraser, CEO
(530) 474-3390 Ext: 307
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/20/2015
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