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WALGREEN CO.
STD09921 Reach LA
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Covered Entity Details
Entity Name
Reach LA
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD09921
Entity Address
1400 E. Olympic Blvd
Suite 240
Los Angeles, CA 90021
Grant Number
NU62PS924569
Participating Start Date
4/1/2019
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12529
305 N. BREED ST.
LOS ANGELES, CA 90033
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Miguel Bujanda, Executive Director
(213) 622-1650 Ext: 101
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2024
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