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CARE-PRO PHARMACY
FQHCLA298 Centro Medico Community Clinic, Inc.
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Covered Entity Details
Entity Name
Centro Medico Community Clinic, Inc.
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA298
Entity Address
1303 W 6th St
105
Corona, CA 92882
Grant Number
LALCS00062
Participating Start Date
7/1/2012
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CARE-PRO PHARMACY
Pharmacy Address
1307 W 6TH ST STE 107
CORONA, CA 92882-1644
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Troy Vaughn, CEO
(951) 278-8910
Contract Pharmacy Representative
Care-Pro Pharmacy
Nital Patel, Pharmacist
(951) 496-4408
Signed By Date
10/10/2018
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