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MENDOCINO COAST PHARMACY
CH0910250 MENDOCINO COAST CLINICS, INC.
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Covered Entity Details
Entity Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
MENDOCINO COAST CLINICS, INC.
Type
HRSA-Funded Health Center
340B ID
CH0910250
Entity Address
205 South St
Fort Bragg, CA 95437-5540
Grant Number
H80CS00876
Participating Start Date
1/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MENDOCINO COAST PHARMACY
Pharmacy Address
350 CYPRESS ST
FORT BRAGG, CA 95437-5408
Pharmacy Comments
Contract Details
Approval Date
7/24/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Cohen, Executive Director
(707) 961-3431
Contract Pharmacy Representative
Mendocino Village Pharmacy
Kelly Brodetsky, Owner
(707) 962-0800
Signed By Date
7/24/2015
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