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WALGREEN CO.
STD92223 Loma Linda University
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Covered Entity Details
Entity Name
Loma Linda University
Subdivision Name
Infectious Disease
Type
Sexually Transmitted Diseases
340B ID
STD92223
Entity Address
81 South Highland Springs Ave.
Beaumont, CA 92223
Grant Number
1H25PS005127
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #21231
1487 E CHEVY CHASE DR
GLENDALE, CA 91206
Pharmacy Comments
Contract Details
Approval Date
1/29/2025
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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