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CH09288M Lifelong Medical Care (Terminated)
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Main Details
Name
Lifelong Medical Care
Subdivision Name
LifeLong Dr. William M. Jenkins, Jr. Pediatric Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011487
340B ID
CH09288M
Grant Number
H80CS00808
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
3/7/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
LifeLong Medical Care
Marty Lynch, CEO
(510) 549-5450 Ext: 4123
Primary Contact
LifeLong Medical Care
Susan E. Edmondson, Pharmacy Program Director
(510) 549-5450
Addresses
Street Address
120 Broadway STE 4
Richmond, CA 94804
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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