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MEDPILOT PHARMACY INCORPORATED
CH091520 MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
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Covered Entity Details
Entity Name
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Subdivision Name
Mountain Empire Family Medicine
Type
HRSA-Funded Health Center
340B ID
CH091520
Entity Address
31115 HIGHWAY 94
Campo, CA 91906-3133
Grant Number
H80CS00284
Participating Start Date
10/1/2002
Last Recertification Date
2/7/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
MEDPILOT PHARMACY INCORPORATED
Pharmacy Address
9323 CHESAPEAKE DR STE C1
SAN DIEGO, CA 92123-1034
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Amy Weisiger, CFO
(619) 478-5254 Ext: 229
Contract Pharmacy Representative
MedPilot Pharmacy
Jacky Lee, Owner
(858) 278-7500
Signed By Date
10/15/2018
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