Contract Pharmacy Details

WALGREEN CO.
CH09107H SF COMMUNITY CLINIC CONSORTIUM

Covered Entity Details

Entity Name

SF COMMUNITY CLINIC CONSORTIUM

Subdivision Name

POTRERO HILL HEALTH CTR

Type

HRSA-Funded Health Center

340B ID

CH09107H

Entity Address

1050 Wisconsin Street
SAN FRANCISCO, CA 94107

Grant Number

H80CS00049

Participating Start Date

4/1/1995

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #13667
5280 GEARY BLVD
SAN FRANCISCO, CA 94118

Pharmacy Comments

Contract Details

Approval Date

11/28/2012

Contract Begin Date

11/28/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Susan Currin, Chief Executive Officer
(415) 206-3517

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

11/28/2012

340B Drug Pricing Program Database