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WALGREEN CO.
CH09321A Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC Family Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321A
Entity Address
344 E 6th St
Madera, CA 93638-3631
Grant Number
H80CS00143
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11877
4771 W ASHLAN AVE
FRESNO, CA 93722
Pharmacy Comments
Contract Details
Approval Date
7/16/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/16/2021
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