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CH09123X LA CLINICA DE LA RAZA, INC. (Active)
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Main Details
Name
LA CLINICA DE LA RAZA, INC.
Subdivision Name
Youth Heart Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012140
340B ID
CH09123X
Grant Number
H80CS00631
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/31/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
La Clinica de La Raza
Jane Garcia, CEO
(510) 535-4000
Primary Contact
La Clinica de La Raza
Dolly Davar, Pharmacy Director
(510) 535-3382
Addresses
Street Address
286 East 10th Street
Oakland, CA 94606
Billing Address
LA CLINICA DE LA RAZA, INC.
P.O. Box 22210
Oakland, CA 94623
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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