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WALGREEN CO
CH090880 SANTA CRUZ, COUNTY OF
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Covered Entity Details
Entity Name
SANTA CRUZ, COUNTY OF
Subdivision Name
Homeless Persons' Health Project Coral Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH090880
Entity Address
115A Coral St
Santa Cruz, CA 95060-2104
Grant Number
H80CS00048
Participating Start Date
10/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10044
45 CASTRO ST SUITE 124
SAN FRANCISCO, CA 94114
Pharmacy Comments
Contract Details
Approval Date
7/7/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/13/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GIANG NGUYEN, DIRECTOR, SANTA CRUZ COUNTY HEALTH SERVICES AGENCY
(831) 454-4471
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/7/2015
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