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HV090720 NORTH COUNTY HEALTH SERVICES (Terminated)
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Main Details
Name
NORTH COUNTY HEALTH SERVICES
Subdivision Name
Type
Ryan White Part C
340B ID
HV090720
Grant Number
H76HA00168
Additional Details
Current Program Status
Terminated
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
3/9/2015
Time Period the Assistance was Received
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
IRMA COTA, CEO
(760) 736-6755
Primary Contact
North County Health Project, Inc.
Kory Hernandez, Director of Pharmacy and Dental Operations
(760) 736-7061
Addresses
Street Address
150 VALPREDA RD
SAN MARCOS, CA 92069
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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