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WALGREEN CO.
FP92126 Operation Samahan Inc.
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Covered Entity Details
Entity Name
Operation Samahan Inc.
Subdivision Name
Mira Mesa Clinic
Type
Family Planning (Title X only)
340B ID
FP92126
Entity Address
10737 Camino Ruiz
San Diego, CA 92126
Grant Number
FPHPA096061
Participating Start Date
7/1/2012
Last Recertification Date
5/12/2016
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #13434
640 UNIVERSITY AVE
SAN DIEGO, CA 92103
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Carl I. Walters II, CEO
(844) 200-2426 Ext: 1020
Contract Pharmacy Representative
Signed By Date
10/17/2016
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