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WALGREEN CO.
CH09071BE Community Health Centers Of The Central Coast, Inc.
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Covered Entity Details
Entity Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
Community Health Centers Santa Maria Women's Health A
Type
HRSA-Funded Health Center
340B ID
CH09071BE
Entity Address
116 S Palisade Dr STE 301
Santa Maria, CA 93454
Grant Number
H80CS00621
Participating Start Date
11/2/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06288
707 N BROADWAY
SANTA MARIA, CA 93454
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
5/5/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/4/2023
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