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DOLPHIN HEALTH PHARMACY
URB12040 NATIVE AMERICAN HEALTH CENTER
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Covered Entity Details
Entity Name
NATIVE AMERICAN HEALTH CENTER
Subdivision Name
DBA NATIVE AMERICAN HEALTH CENTER
Type
Urban Indian
340B ID
URB12040
Entity Address
3124 INTERNATIONAL BLVD.
OAKLAND, CA 94601
Grant Number
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
DOLPHIN HEALTH PHARMACY
Pharmacy Address
7400 MACARTHUR BLVD
SUITE A
OAKLAND, CA 94605
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ana O'Connor, Chief Operating Officer
(510) 434-5470
Contract Pharmacy Representative
Dolphin Health Pharmacy Vibrant Care Pharmacy
scott bui, director of pharmacy
(510) 780-6254
Signed By Date
1/12/2018
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