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CH09087B ALAMEDA, COUNTY OF (Active)
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Main Details
Name
ALAMEDA, COUNTY OF
Subdivision Name
EASTMONT WELLNESS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004681
340B ID
CH09087B
Grant Number
H80CS00047
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
2/18/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Alameda Health System
Harold Glenn, Vice President of Clinical Operations
(510) 410-4757
Primary Contact
Alameda Health System
Eric Ryan Mahone, Manager, System Ambulatory Pharmacy
(510) 437-4085
Addresses
Street Address
6955 Foothill Blvd
Oakland, CA 94605-2455
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/26/09 CONTR PHARM NAME CHANGE (WAS LONGS DRUGS/CVS #56) 2/18/05 - ADMIN CORRECTION REPLACES HO09087B
10/26/2009
April 2025
April 2025
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