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WALGREEN CO.
CH090660 MISSION AREA HEALTH ASSOCIATES
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Covered Entity Details
Entity Name
MISSION AREA HEALTH ASSOCIATES
Subdivision Name
MISSION NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH090660
Entity Address
240 Shotwell St
San Francisco, CA 94110-1323
Grant Number
H80CS00590
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04609
1301 MARKET STREET
SAN FRANCISCO, CA 94103
Pharmacy Comments
Contract Details
Approval Date
10/7/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brenda Y. Storey, CEO
(415) 552-1013 Ext: 2201
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/7/2015
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