Contract Pharmacy Details

ANCHOR DRUGS
CH09114D SAN MATEO MEDICAL CENTER

Covered Entity Details

Entity Name

SAN MATEO MEDICAL CENTER

Subdivision Name

DALY CITY YOUTH HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH09114D

Entity Address

350 90th St
DALY CITY, CA 94015

Grant Number

H80CS00051

Participating Start Date

10/1/2001

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

ANCHOR DRUGS

Pharmacy Address

161 S SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080

Pharmacy Comments

Contract Details

Approval Date

4/12/2012

Contract Begin Date

4/12/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

SUSAN EHRLICH, CEO
(650) 573-2041

Contract Pharmacy Representative

Raymond Jajeh, President
(650) 360-5300

Signed By Date

3/23/2012