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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 SPECIALTY PHARMACY #16477
3009 BROADWAY
OAKLAND, CA 94611
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
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
1/13/2017
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