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HILLCREST PHARMACY INC
CH090720 NORTH COUNTY HEALTH PROJECT, INC
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Covered Entity Details
Entity Name
NORTH COUNTY HEALTH PROJECT, INC
Subdivision Name
TrueCare
Type
HRSA-Funded Health Center
340B ID
CH090720
Entity Address
150 Valpreda Road
San Marcos, CA 92069-2973
Grant Number
H80CS00228
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HILLCREST PHARMACY INC
Pharmacy Address
HILLCREST PHARMACY
1988 HACIENDA DR
VISTA, CA 92081-6026
Pharmacy Comments
Contract Details
Approval Date
7/9/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Ownership change
Contacts
Covered Entity Signing Official
IRMA COTA, CEO
(760) 736-6755
Contract Pharmacy Representative
Hillcrest Pharmacy
Susan Baeza, Owner
(619) 260-1010
Signed By Date
7/9/2015
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