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WALGREEN CO.
CH09056Z 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 TUOLUMNE (2630)
Type
HRSA-Funded Health Center
340B ID
CH09056Z
Entity Address
2630 Tuolumne St
Fresno, CA 93721-1227
Grant Number
H80CS00137
Participating Start Date
10/26/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #06386
4810 E CESAR CHAVEZ BLVD
FRESNO, CA 93727
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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