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WALGREEN CO.
CH091960 NORTHEASTERN RURAL HEALTH CLINICS, INC.
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Covered Entity Details
Entity Name
NORTHEASTERN RURAL HEALTH CLINICS, INC.
Subdivision Name
NORTHEASTERN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH091960
Entity Address
1850 SPRING RIDGE DRIVE
SUSANVILLE, CA 96130
Grant Number
H80CS00709
Participating Start Date
4/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10421
2875 MAIN STREET
SUSANVILLE, CA 96130-4739
Pharmacy Comments
Contract Details
Approval Date
10/24/2012
Contract Begin Date
10/24/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JANET LASICK, CEO
(530) 251-5000 Ext: 295
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/11/2012
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