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CH09067U North East Medical Services (Terminated)
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Main Details
Name
North East Medical Services
Subdivision Name
North East Medical Services - Pacific Pharmacy
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034423
340B ID
CH09067U
Grant Number
H80CS00221
Additional Details
Current Program Status
Terminated
Registration Date
5/13/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/16/2022
Last Recertification Date
2/21/2023
Termination Date
Termination Reason
4/1/2024
Other
Contacts
Authorizing Official
NORTH EAST MEDICAL SERVICES
EDDIE W. CHAN, PRESIDENT AND CEO
(415) 391-9686 Ext: 5905
Primary Contact
nems
BEVERLEY CHAN, PHARMACY DIRECTOR
(415) 391-9686 Ext: 5731
Addresses
Street Address
728 Pacific Ave STE 114-115
San Francisco, CA 94133-4449
Billing Address
NORTH EAST MEDICAL SERVICES
2171 Junipero Serra Blvd
Suite 260
San Francisco, CA 94014
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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