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WALGREEN CO.
HV00791 TARZANA TREATMENT CENTERS INC
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Covered Entity Details
Entity Name
TARZANA TREATMENT CENTERS INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV00791
Entity Address
18646 OXNARD STREET
TARZANA, CA 91356
Grant Number
H76HA00791
Participating Start Date
10/1/2010
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06700
5224 COLDWATER CANYON AVE
VAN NUYS, CA 91401-6146
Pharmacy Comments
Contract Details
Approval Date
4/10/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALBERT M. SENELLA, PRESIDENT AND CEO
(818) 654-3815
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2014
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