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WALGREEN CO.
CH10123V VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER- CORNELIUS DENTAL
Type
HRSA-Funded Health Center
340B ID
CH10123V
Entity Address
44 N 11TH AVE
CORNELIUS, OR 97113-9020
Grant Number
H80CS00817
Participating Start Date
4/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09353
115 N 20TH AVE
CORNELIUS, OR 97113
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
Annmarie Rainford Dennis, Corporate Compliance Officer
(503) 214-1652
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2023
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