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WALGREEN CO.
URB12040B Native American Health Center
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Covered Entity Details
Entity Name
Native American Health Center
Subdivision Name
United For Success / Life Academy
Type
Urban Indian
340B ID
URB12040B
Entity Address
2101 35th Avenue
Oakland, CA 94601
Grant Number
Participating Start Date
10/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02401
21463 FOOTHILL BLVD.
HAYWARD, CA 94541
Pharmacy Comments
Contract Details
Approval Date
1/27/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg C Garrett, Chief Operating Officer
(510) 485-5902
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/27/2022
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