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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 # 15025
2190 SHATTUCK AVENUE
BERKELEY, CA 94704-1307
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/30/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Erika Simpson Akpawu, CEO
(510) 835-9610 Ext: 2101
Contract Pharmacy Representative
West Oakland Health Council
James McCabe, Director of Pharmacy
(510) 835-9610 Ext: 2076
Signed By Date
10/11/2021
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