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WALGREEN CO.
STD946122 AIDS PROJECT OF THE EAST BAY
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Covered Entity Details
Entity Name
AIDS PROJECT OF THE EAST BAY
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD946122
Entity Address
8400 Enterprise Way
APEB, Suite 120
Oakland, CA 94612
Grant Number
1H25PS004317
Participating Start Date
4/1/2017
Last Recertification Date
5/9/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16477
3009 BROADWAY
OAKLAND, CA 94611
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
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