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CH09107BR San Francisco Community Clinic Consortium (Active)
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Main Details
Name
San Francisco Community Clinic Consortium
Subdivision Name
Tom Waddell Urban Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012237
340B ID
CH09107BR
Grant Number
H80CS00049
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David E Smith, Pharmacy Manager
(628) 206-2332
Addresses
Street Address
220 Golden Gate Avenue
San Francisco, CA 94102-3706
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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