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WALGREEN CO
CHC24201-01 URBAN COMMUNITY ACTION PROJECTS
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Covered Entity Details
Entity Name
URBAN COMMUNITY ACTION PROJECTS
Subdivision Name
City of Riverside Access Center
Type
HRSA-Funded Health Center
340B ID
CHC24201-01
Entity Address
2880 Hulen Pl
Riverside, CA 92507-2606
Grant Number
H80CS24201
Participating Start Date
4/1/2014
Last Recertification Date
1/30/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #09021
1811 S SAN JACINTO AVE
SAN JACINTO, CA 92583-5605
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Emmanuel Parakati, Chief Executive Officer
(951) 640-6511
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2017
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