340B Drug Pricing Program Database
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CH09078R Community Medical Centers, Inc. (Active)
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Main Details
Name
Community Medical Centers, Inc.
Subdivision Name
Community Medical Centers, Mariposa Road
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008639
340B ID
CH09078R
Grant Number
H80CS00138
Additional Details
Current Program Status
Active
Registration Date
5/27/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/8/2009
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Community Medical Centers, inc.
Greg Diederich, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
2015 S. Mariposa Rd
Stockton, CA 95205-7735
Billing Address
Community Medical Centers, Inc.
PO Box 779
Stockton, CA 95201-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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