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WALGREEN CO.
CH09534D Altura Centers for Health
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Covered Entity Details
Entity Name
Altura Centers for Health
Subdivision Name
Altura Centers for Health Mobile Clinic 1
Type
HRSA-Funded Health Center
340B ID
CH09534D
Entity Address
1134 E Cartmill Avenue
Tulare, CA 93274-9615
Grant Number
H80CS00338
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10002
1418 EAST PROSPERITY AVENUE
TULARE, CA 93274-8054
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GRACIELA Soto Perez, CEO
(559) 685-4601
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/1/2024
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