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NEW OAKLAND PHARMACY - LAKE MERRITT
CH09103B ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
FRANK KIANG MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH09103B
Entity Address
250 EAST 18TH STREET
FL 2
OAKLAND, CA 94606
Grant Number
H80CS00773
Participating Start Date
10/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NEW OAKLAND PHARMACY - LAKE MERRITT
Pharmacy Address
250 E 18TH ST FL 3
OAKLAND, CA 94606-1716
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, Vice President
(510) 628-0878
Signed By Date
4/11/2024
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