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WALGREEN CO.
CH09056AN 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 Fresno Illinois
Type
HRSA-Funded Health Center
340B ID
CH09056AN
Entity Address
2210 E Illinois Ave, Ste 501
Fresno, CA 93701-2125
Grant Number
H80CS00137
Participating Start Date
7/1/2024
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06942
6010 N FIGARDEN DRIVE
FRESNO, CA 93722-6030
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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