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WALGREEN CO.
CH09047AZ GOLDEN VALLEY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
GOLDEN VALLEY HEALTH CENTERS INC
Subdivision Name
GVHC - Modesto Coolidge
Type
HRSA-Funded Health Center
340B ID
CH09047AZ
Entity Address
208 W Coolidge Ave
Modesto, CA 95350-4447
Grant Number
H80CS00742
Participating Start Date
7/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02865
1101 MCHENRY AVE
MODESTO, CA 95350
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
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