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WALGREEN CO
CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Subdivision Name
Southern California Medical Center (EM)
Type
HRSA-Funded Health Center
340B ID
CHC28368-00
Entity Address
12100 VALLEY BLVD
EL MONTE, CA 91732-3100
Grant Number
H80CS28368
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #7575
3643 PECK RD
EL MONTE, CA 91731-3530
Pharmacy Comments
Contract Details
Approval Date
4/11/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sheila Busheri, CEO
(818) 324-3780
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2017
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