Contract Pharmacy Details

WALGREEN CO.
CH091160 SALUD PARA LA GENTE

Covered Entity Details

Entity Name

SALUD PARA LA GENTE

Subdivision Name

SALUD PARA LA GENTE, INC.

Type

HRSA-Funded Health Center

340B ID

CH091160

Entity Address

204 E Beach St
Watsonville, CA 95076-4809

Grant Number

H80CS00226

Participating Start Date

4/1/1996

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03158
1718 SOQUEL AVENUE
SANTA CRUZ, CA 95062

Pharmacy Comments

Contract Details

Approval Date

1/15/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dori Rose Inda, CEO
(831) 728-8250 Ext: 1006

Contract Pharmacy Representative

Walgreens
John Lewandowski, Client Relationship Analyst 340b West Region
(847) 964-4719

Signed By Date

1/15/2021

340B Drug Pricing Program Database