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DOLPHIN HEALTH PHARMACY
CH090540 WEST OAKLAND HEALTH COUNCIL, INC.
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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
DOLPHIN HEALTH PHARMACY
Pharmacy Address
7400 MACARTHUR BLVD
SUITE A
OAKLAND, CA 94605
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benjamin F. Pettus, CEO
(510) 835-9610 Ext: 2100
Contract Pharmacy Representative
Dolphin Health Pharmacy Vibrant Care Pharmacy
scott bui, director of pharmacy
(510) 780-6254
Signed By Date
4/13/2017
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