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WALGREEN CO.
FQHCLA270 CASTLE FAMILY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CASTLE FAMILY HEALTH CENTERS, INC.
Subdivision Name
CASTLE FAMILY HEALTH CENTERS AT CASTLE
Type
Health Center Program Look-Alike
340B ID
FQHCLA270
Entity Address
3605 HOSPITAL ROAD
ATWATER, CA 95301-5173
Grant Number
LALCS00012
Participating Start Date
10/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04415
3098 G STREET
MERCED, CA 95340
Pharmacy Comments
Contract Details
Approval Date
1/21/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Able, CFO
(209) 724-4103
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/21/2015
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