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WALGREEN CO.
STD92354 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
STD92354
Entity Address
11370 Anderson St
Suite 3650
Loma Linda, CA 92354
Grant Number
1H25PS005127
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05478
6701 CARNELIAN ST
RANCHO CUCAMONGA, CA 91701
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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