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WALGREEN CO.
CHC12849-00 AXIS COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
AXIS COMMUNITY HEALTH, INC.
Subdivision Name
Axis Community Health - Pleasanton Site
Type
HRSA-Funded Health Center
340B ID
CHC12849-00
Entity Address
4361 Railroad Avenue
Pleasanton, CA 94566-6611
Grant Number
H80CS12849
Participating Start Date
4/1/2003
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02485
21001 SAN RAMON VALLEY BLVD
SAN RAMON, CA 94583
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
12/19/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
SUE COMPTON, CEO
(925) 201-6005
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2017
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