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WALGREEN CO.
DSH050276A CONTRA COSTA REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
CONTRA COSTA REGIONAL MEDICAL CENTER
Subdivision Name
WEST COUNTY HEALTH CENTER
Type
Disproportionate Share Hospital
340B ID
DSH050276A
Entity Address
West County Health Center
13601 San Pablo Ave
San Pablo, CA 94806-3818
Medicare Provider Number
050276
Outpatient Facility Provider Number
Participating Start Date
4/1/1998
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02506
1150 MACDONALD AVE
RICHMOND, CA 94801
Pharmacy Comments
Contract Details
Approval Date
4/2/2007
Contract Begin Date
4/2/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/16/2007
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