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WALGREENS MAIL SERVICE, INC.
CH09107BS SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
Subdivision Name
HealthRIGHT360 - Integrated Care Center
Type
HRSA-Funded Health Center
340B ID
CH09107BS
Entity Address
1563 Mission Street
San Francisco, CA 94103
Grant Number
H80CS00049
Participating Start Date
4/1/2013
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
1/9/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/3/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Vitka Eisen, CEO
(415) 762-1558
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/9/2015
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