Contract Pharmacy Details

WALGREEN CO.
CH0921760 WESTERN SIERRA MEDICAL CLINIC

Covered Entity Details

Entity Name

WESTERN SIERRA MEDICAL CLINIC

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH0921760

Entity Address

209 NEVADA STREET
DOWNIEVILLE, CA 95936

Grant Number

H80CS08234

Participating Start Date

4/1/2007

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10881
880 SUTTON WAY
GRASS VALLEY, CA 95945

Pharmacy Comments

Contract Details

Approval Date

4/8/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Scott McFarland, Chief Executive Officer
(530) 273-4984 Ext: 115

Contract Pharmacy Representative

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

Signed By Date

4/8/2015

340B Drug Pricing Program Database