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WALGREEN CO.
RWI5 CITY OF LONG BEACH/DEPT HEALTH & HUMAN SERVICES
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Covered Entity Details
Entity Name
CITY OF LONG BEACH/DEPT HEALTH & HUMAN SERVICES
Subdivision Name
HIV Care Coordination
Type
Ryan White Part A
340B ID
RWI5
Entity Address
2525 GRAND AVENUE
LONG BEACH, CA 90815
Grant Number
H89HA00016
Participating Start Date
1/1/2012
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05650
2627 PACIFIC AVENUE
LONG BEACH, CA 90806-2610
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erica Sanchez, Clinical Services & HIPAA Compliance Officer
(562) 570-4225
Contract Pharmacy Representative
Walgreen Co
Stephen Perius, Pharmacy Representative
(323) 251-4417
Signed By Date
10/2/2023
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