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WALGREEN CO.
CHC28985-10 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
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Covered Entity Details
Entity Name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Subdivision Name
Central Neighborhood Health Foundation / Carmelitos
Type
HRSA-Funded Health Center
340B ID
CHC28985-10
Entity Address
711 E Via Wanda
Long Beach, CA 90805-6526
Grant Number
H80CS28985
Participating Start Date
4/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #12057
1050 N. HIGHLAND AVE.
LOS ANGELES, CA 90038
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Walter, Chief Operating Officer
(213) 910-8845
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/14/2025
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