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WALGREEN CO.
CHC28979-00 DAVIS STREET COMMUNITY CENTER INC
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Covered Entity Details
Entity Name
DAVIS STREET COMMUNITY CENTER INC
Subdivision Name
Davis Street Primary Care Clinic
Type
HRSA-Funded Health Center
340B ID
CHC28979-00
Entity Address
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Grant Number
H80CS28979
Participating Start Date
4/28/2021
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02426
15500 WASHINGTON AVE
SAN LEANDRO, CA 94579
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rose Padilla Johnson, Chief Executive Officer
(510) 347-4620 Ext: 100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2017
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