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HIGHLAND GENERAL HOSPITAL
CH09087B ALAMEDA, COUNTY OF
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Covered Entity Details
Entity Name
ALAMEDA, COUNTY OF
Subdivision Name
EASTMONT WELLNESS
Type
HRSA-Funded Health Center
340B ID
CH09087B
Entity Address
6955 Foothill Blvd
Oakland, CA 94605-2455
Grant Number
H80CS00047
Participating Start Date
10/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HIGHLAND GENERAL HOSPITAL
Pharmacy Address
1411 E 31ST ST
OUTPATIENT PHARMACY
OAKLAND, CA 94602-1018
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/8/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John Chapman, CAO
(510) 437-6534
Contract Pharmacy Representative
Alameda Health System
Douglas Del Paggio, Director of Pharmacy
(510) 437-4048
Signed By Date
1/7/2016
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