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WALGREEN CO.
CH09107U SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
Subdivision Name
HealthRIGHT360
Type
HRSA-Funded Health Center
340B ID
CH09107U
Entity Address
558 Clayton St
San Francisco, CA 94117-2907
Grant Number
H80CS00049
Participating Start Date
7/1/1998
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02153
790 VAN NESS AVE
SAN FRANCISCO, CA 94102
Pharmacy Comments
Contract Details
Approval Date
1/13/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vitka Eisen, CEO
(415) 762-1558
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2015
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