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WALGREEN CO.
CH10079AA La Clinica Del Valle Family Health Care Center, Inc.
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Covered Entity Details
Entity Name
La Clinica Del Valle Family Health Care Center, Inc.
Subdivision Name
La Clinica School Based Health Center at Armadillo Community Charter School
Type
HRSA-Funded Health Center
340B ID
CH10079AA
Entity Address
302 W 1st St
Phoenix, OR 97535-0048
Grant Number
H80CS00759
Participating Start Date
7/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #09328
210 E BARNETT RD.
MEDFORD, OR 97501-7928
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
Traci Fossen, Chief Quality Officer
(541) 512-3912
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/11/2024
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