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WALGREEN CO
CH09056T United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
UNITED HEALTH CENTERS--HURON
Type
HRSA-Funded Health Center
340B ID
CH09056T
Entity Address
17008 13th Street
Huron, CA 93234-0000
Grant Number
H80CS00137
Participating Start Date
1/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10481
265 W FORREST AVE
COALINGA, CA 93210
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2024
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