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WALGREEN CO.
URB12040C Native American Health Center
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Covered Entity Details
Entity Name
Native American Health Center
Subdivision Name
Encinal High School
Type
Urban Indian
340B ID
URB12040C
Entity Address
210 Central Ave.
Alameda, CA 94501
Grant Number
Participating Start Date
10/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02150
1763 SANTA RITA RD
PLEASANTON, CA 94566
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/27/2022
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