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

WALGREENS #15330
5809 FOOTHILL BLVD
OAKLAND, CA 94605

Pharmacy Comments

Contract Details

Approval Date

4/2/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/30/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Preston DuFauchard, Chief Executive Officer
(510) 835-9610

Contract Pharmacy Representative

West Oakland Health Council
James McCabe, Director of Pharmacy
(510) 835-9610 Ext: 2076

Signed By Date

4/2/2021

340B Drug Pricing Program Database