Contract Pharmacy Details

WALGREEN CO.
RWI94612A AIDS PROJECT OF THE EAST BAY

Covered Entity Details

Entity Name

AIDS PROJECT OF THE EAST BAY

Subdivision Name

Type

Ryan White Part A

340B ID

RWI94612A

Entity Address

8400 Enterprise Way
APEB, Suite 120
Oakland, CA 94612

Grant Number

H89HA00018

Participating Start Date

4/1/2017

Last Recertification Date

2/20/2018

Entity Termination Date

4/1/2019

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03295
8102 INTERNATIONAL BLVD
OAKLAND, CA 94621

Pharmacy Comments

Contract Details

Approval Date

1/5/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Robert Newells, Executive Director
(510) 663-7950 Ext: 150

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/5/2018

340B Drug Pricing Program Database