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WALGREEN CO.
CH09364AZ FAMILY HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
FAMILY HEALTHCARE NETWORK
Subdivision Name
Family HealthCare Network - Hanford 12th Avenue Health Center
Type
HRSA-Funded Health Center
340B ID
CH09364AZ
Entity Address
939 S. 12th Avenue
Hanford, CA 93230-5506
Grant Number
H80CS00786
Participating Start Date
4/1/2024
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03476
100 W WALNUT AVE
VISALIA, CA 93277
Pharmacy Comments
Contract Details
Approval Date
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kerry Hydash, President and CEO
(559) 737-4700
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/13/2024
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