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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16477
3009 BROADWAY
OAKLAND, CA 94611
Pharmacy Comments
Contract Details
Approval Date
7/28/2017
Contract Begin Date
10/1/2017
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
7/28/2017
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