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WALGREEN CO.
CHC26613-06 ANTELOPE VALLEY COMMUNITY CLINIC
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Covered Entity Details
Entity Name
ANTELOPE VALLEY COMMUNITY CLINIC
Subdivision Name
Antelope Valley Community Clinic - Palmdale East
Type
HRSA-Funded Health Center
340B ID
CHC26613-06
Entity Address
37926 47th St. East
Palmdale, CA 93552
Grant Number
H80CS26613
Participating Start Date
7/1/2017
Last Recertification Date
2/1/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06976
37160 47TH STREET EAST
PALMDALE, CA 93552-4450
Pharmacy Comments
Contract Details
Approval Date
5/24/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
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