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WALGREEN CO
CH03682A LA CLINICA DEL PUEBLO, INC.
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Covered Entity Details
Entity Name
LA CLINICA DEL PUEBLO, INC.
Subdivision Name
La Clinica del Pueblo - Hyattsville Site
Type
HRSA-Funded Health Center
340B ID
CH03682A
Entity Address
2970 Belcrest Center Drive, Suite #301
Hyattsville, MD 20782-2078
Grant Number
H80CS08244
Participating Start Date
4/1/2017
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
COMMUNITY A WALGREENS PHARMACY #15298
1325 14TH STREET NW
WASHINGTON, DC 20005
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Catalina Sol, Executive Director
(202) 448-2810
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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