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WALGREENS SPECIALTY PHARMACY, LLC
CHC26623-02 OPERATION SAMAHAN
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Covered Entity Details
Entity Name
OPERATION SAMAHAN
Subdivision Name
OPSAM HEALTH: 10737 Camino Ruiz Ste. 235
Type
HRSA-Funded Health Center
340B ID
CHC26623-02
Entity Address
10737 Camino Ruiz STE 235
San Diego, CA 92126-2375
Grant Number
H80CS26623
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15443
10530 JOHN W ELLIOTT DR STE 100
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
archie p bella, executive director
(844) 200-2426 Ext: 1063
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2023
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