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WALGREEN CO
CH080130 SALUD FAMILY HEALTH, INC
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Covered Entity Details
Entity Name
SALUD FAMILY HEALTH, INC
Subdivision Name
SALUD FORT LUPTON
Type
HRSA-Funded Health Center
340B ID
CH080130
Entity Address
1115 2nd St
Fort Lupton, CO 80621-1745
Grant Number
H80CS00801
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #11255
4545 E 9TH AVE STE 100
DENVER, CO 80220
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Santistevan, President/ CEO
(303) 892-6401
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2017
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