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WALGREEN CO.
CHC31240-00 FIRST PERSON CARE CLINIC
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Covered Entity Details
Entity Name
FIRST PERSON CARE CLINIC
Subdivision Name
First Person Care Clinic
Type
HRSA-Funded Health Center
340B ID
CHC31240-00
Entity Address
1200 S 4TH ST
111
LAS VEGAS, NV 89104-1046
Grant Number
H80CS31240
Participating Start Date
4/1/2018
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15312
901 S RANCHO DR STE 20
LAS VEGAS, NV 89106
Pharmacy Comments
Contract Details
Approval Date
1/24/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/2/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Roxana Valeton, CEO
(305) 303-8108
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/24/2018
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