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WALGREEN CO.
FQHCLA383A Brighter Beginnings
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Covered Entity Details
Entity Name
Brighter Beginnings
Subdivision Name
Brighter Beginnings Family Health Clinic Antioch
Type
Health Center Program Look-Alike
340B ID
FQHCLA383A
Entity Address
3505 Lone Tree Way Ste 1
ANTIOCH, CA 94509-6067
Grant Number
LALCS00176
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04724
3416 DEER VALLEY RD.
ANTIOCH, CA 94531-6650
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Barbara Bunn McCullough, CEO
(925) 448-3702
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/1/2021
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