Contract Pharmacy Details

WALGREEN CO.
STD941031 San Francisco AIDS Foundation

Covered Entity Details

Entity Name

San Francisco AIDS Foundation

Subdivision Name

1035 Satellite Clinic

Type

Sexually Transmitted Diseases

340B ID

STD941031

Entity Address

1035 Market Street, Suite 400
San Francisco, CA 94103

Grant Number

6NH25PS005141

Participating Start Date

4/1/2015

Last Recertification Date

5/10/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #15108
201 FRONT ST.
SANTA CRUZ, CA 95060

Pharmacy Comments

Contract Details

Approval Date

4/10/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/2/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Liz Pesch, CFO
(415) 487-3045

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

4/10/2018

340B Drug Pricing Program Database