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WALGREEN CO
URB12040 NATIVE AMERICAN HEALTH CENTER
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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 #11385
1580 VALENCIA ST STE 101
SAN FRANCISCO, CA 94110
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
4/21/2022
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
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