Contract Pharmacy Details

WALGREEN CO.
CH090540 WEST OAKLAND HEALTH COUNCIL, INC.

Covered Entity Details

Entity Name

WEST OAKLAND HEALTH COUNCIL, INC.

Subdivision Name

WEST OAKLAND HEALTH CENTER..

Type

HRSA-Funded Health Center

340B ID

CH090540

Entity Address

700 Adeline St
Oakland, CA 94607-2608

Grant Number

H80CS00347

Participating Start Date

12/1/1992

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 04050
1916 WEBSTER ST.
ALAMEDA, CA 94501

Pharmacy Comments

Contract Details

Approval Date

10/13/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Benjamin F. Pettus, CEO
(510) 835-9610 Ext: 2100

Contract Pharmacy Representative

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

Signed By Date

10/13/2016

340B Drug Pricing Program Database