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WALGREEN CO.
CH091030 ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
ASIAN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH091030
Entity Address
818 Webster St
Oakland, CA 94607-4220
Grant Number
H80CS00773
Participating Start Date
4/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05487
5300 3RD STREET
SAN FRANCISCO, CA 94124
Pharmacy Comments
Contract Details
Approval Date
10/24/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/27/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
SHERRY HIROTA, CEO
(510) 735-3111
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/24/2019
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