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WALGREEN CO.
CHC26623-00 OPERATION SAMAHAN, INC.
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Covered Entity Details
Entity Name
OPERATION SAMAHAN, INC.
Subdivision Name
OPSAM HEALTH: 2835 Highland
Type
HRSA-Funded Health Center
340B ID
CHC26623-00
Entity Address
2835 Highland Ave
National City, CA 91950-7412
Grant Number
H80CS26623
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05455
111 W WASHINGTON AVE
ESCONDIDO, CA 92025
Pharmacy Comments
Contract Details
Approval Date
3/21/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joel San Juan, CEO
(619) 274-9081
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/21/2014
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