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WALGREEN CO.
CH091040 ASIAN PACIFIC HEALTH CARE VENTURE INC
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Covered Entity Details
Entity Name
ASIAN PACIFIC HEALTH CARE VENTURE INC
Subdivision Name
APHCV-Los Feliz Health Center
Type
HRSA-Funded Health Center
340B ID
CH091040
Entity Address
1530 HILLHURST AVENUE
LOS ANGELES, CA 90027-5516
Grant Number
H80CS00787
Participating Start Date
10/1/1997
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06124
9750 WOODMAN AVENUE
ARLETA, CA 91331
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KAZUE SHIBATA, CEO
(323) 644-3880 Ext: 254
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/11/2013
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