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SCRIPTSITE PHARMACY
CHC28978-00 ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
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Covered Entity Details
Entity Name
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
Subdivision Name
Asian and Pacific Islander Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC28978-00
Entity Address
726 POLK ST, 4th Floor
San Francisco, CA 94109-7812
Grant Number
H80CS28978
Participating Start Date
4/1/2016
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
SCRIPTSITE PHARMACY
Pharmacy Address
870 MARKET ST STE 1028
SAN FRANCISCO, CA 94102-2914
Pharmacy Comments
Contract Details
Approval Date
4/27/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lance Toma, Chief Executive Officer
(415) 292-3400 Ext: 355
Contract Pharmacy Representative
Script Site
Vinay K Jindal, Founder/CEO
(415) 935-1633
Signed By Date
4/27/2018
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