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WALGREEN CO.
CH101230 VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER - Cornelius
Type
HRSA-Funded Health Center
340B ID
CH101230
Entity Address
1151 N Adair Street
Cornelius, OR 97113-9029
Grant Number
H80CS00817
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09625
17850 LOWER BOONES FERRY RD
LAKE OSWEGO, OR 97035
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/16/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gil Munoz, CEO
(503) 214-1600
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2013
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