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WALGREEN CO.
CH090210 GARDNER FAMILY HEALTH NETWORK, INC
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Covered Entity Details
Entity Name
GARDNER FAMILY HEALTH NETWORK, INC
Subdivision Name
Alviso Health Center
Type
HRSA-Funded Health Center
340B ID
CH090210
Entity Address
1621 GOLD ST
ALVISO, CA 95002
Grant Number
H80CS00359
Participating Start Date
4/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02740
3460 EL CAMINO REAL
SANTA CLARA, CA 95051
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EFRAIN CORIA, CHIEF OPERATIONS OFFICER
(408) 200-2291
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2021
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