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WALGREEN CO.
STD94114 San Francisco AIDS Foundation
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Covered Entity Details
Entity Name
San Francisco AIDS Foundation
Subdivision Name
Strut - Sexual Health Services
Type
Sexually Transmitted Diseases
340B ID
STD94114
Entity Address
470 Castro Street
San Francisco, CA 94114
Grant Number
NU62PS924674
Participating Start Date
10/1/2011
Last Recertification Date
5/29/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #04318
4129 18TH STREET
SAN FRANCISCO, CA 94114
Pharmacy Comments
Contract Details
Approval Date
10/15/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Gibson, Clinic Administrator
(415) 581-1609
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/15/2014
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