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WALGREEN CO
RWI92354 Loma Linda University
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Covered Entity Details
Entity Name
Loma Linda University
Subdivision Name
Infectious Disease
Type
Ryan White Part A
340B ID
RWI92354
Entity Address
11370 Anderson St
Suite 3650
Loma Linda, CA 92354
Grant Number
UT8HA33958
Participating Start Date
4/1/2024
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09021
1811 S SAN JACINTO AVE
SAN JACINTO, CA 92583-5605
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Travis Losey, Vice President for Research Affairs
(909) 558-8544
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2025
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