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WALGREEN CO.
CH0910140 COMMUNITY HEALTH ALLIANCE OF PASADENA
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Type
HRSA-Funded Health Center
340B ID
CH0910140
Entity Address
1855 N Fair Oaks Ave
Pasadena, CA 91103-1620
Grant Number
H80CS04220
Participating Start Date
1/1/2004
Last Recertification Date
2/2/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02156
2551 WEST MAIN STREET
ALHAMBRA, CA 91801
Pharmacy Comments
Contract Details
Approval Date
7/24/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/20/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARGARET B. MARTINEZ, CEO
(626) 398-6300
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/24/2013
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