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WALGREEN CO.
FQHC638032 URBAN INDIAN HEALTH BOARD
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Covered Entity Details
Entity Name
URBAN INDIAN HEALTH BOARD
Subdivision Name
DBA NATIVE AMERICAN HEALTH CENTER
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638032
Entity Address
2950 International Blvd.
OAKLAND, CA 94601
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 02866
1363 DIVISADERO ST
SAN FRANCISCO, CA 94115
Pharmacy Comments
Contract Details
Approval Date
3/5/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/24/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Ana O'Conner, COO
(510) 535-4496
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2013
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