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WALGREEN CO.
FQHC638024B UNITED INDIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
UNITED INDIAN HEALTH SERVICES
Subdivision Name
KLAMATH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024B
Entity Address
241 SALMON ROAD
KLAMATH, CA 95548
Grant Number
Participating Start Date
1/1/2009
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04681
1424 BROADWAY STREET
EUREKA, CA 95501
Pharmacy Comments
Contract Details
Approval Date
10/18/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Myers, Chief Clinical Officer
(707) 825-4070
Contract Pharmacy Representative
United Indian Health Services
Kanako Miyamoto, Pharmacy Director
(707) 825-4095
Signed By Date
10/18/2023
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