Contract Pharmacy Details

WALGREEN CO.
URB12040 NATIVE AMERICAN HEALTH CENTER

Covered Entity Details

Entity Name

NATIVE AMERICAN HEALTH CENTER

Subdivision Name

DBA NATIVE AMERICAN HEALTH CENTER

Type

Urban Indian

340B ID

URB12040

Entity Address

3124 INTERNATIONAL BLVD.
OAKLAND, CA 94601

Grant Number

Participating Start Date

12/1/1992

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03032
15850 E 14TH STREET
SAN LEANDRO, CA 94578

Pharmacy Comments

Contract Details

Approval Date

7/19/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/21/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

Ana O'Connor, Chief Operating Officer
(510) 434-5470

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/19/2013

340B Drug Pricing Program Database