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New Oakland Pharmacy Lake Merritt
CH091030 ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
ASIAN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH091030
Entity Address
818 Webster St
Oakland, CA 94607-4220
Grant Number
H80CS00773
Participating Start Date
4/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
New Oakland Pharmacy Lake Merritt
Pharmacy Address
250 E. 18th Street, 3rd Floor
Oakland, CA 94606
Pharmacy Comments
Contract Details
Approval Date
6/28/2012
Contract Begin Date
6/28/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SHERRY HIROTA, CEO
(510) 735-3111
Contract Pharmacy Representative
New Oakland Pharmacy
Kam Tam, Vice President
(510) 628-0878
Signed By Date
6/26/2012
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