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NEW OAKLAND PHARMACY_#1
CH09103A ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
Rolland & Kathryn Lowe Medical Center
Type
HRSA-Funded Health Center
340B ID
CH09103A
Entity Address
835 Webster St
Oakland, CA 94607-4219
Grant Number
H80CS00773
Participating Start Date
10/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NEW OAKLAND PHARMACY_#1
Pharmacy Address
333 9TH ST
OAKLAND, CA 94607-4211
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julia Liou, CEO
(510) 735-3100
Contract Pharmacy Representative
New Oakland Pharmacy
Kam Tam, Outpatient Pharmacy Manager
(510) 428-3166
Signed By Date
4/11/2024
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