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CLINIC PHARMACIES, LLC
CH095380 Marin Community Clinic
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Covered Entity Details
Entity Name
Marin Community Clinic
Subdivision Name
Marin Community Clinic - Larkspur
Type
HRSA-Funded Health Center
340B ID
CH095380
Entity Address
5 Bon Air Road, Suite 117
Larkspur, CA 94939-1138
Grant Number
H80CS00343
Participating Start Date
10/1/2001
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CLINIC PHARMACIES, LLC
Pharmacy Address
DBA MCC PHARMACY NOVATO
6100 REDWOOD BLVD, SUITE A
NOVATO, CA 94945
Pharmacy Comments
Contract Details
Approval Date
10/20/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/28/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LINDA TAVASZI, CEO
(415) 755-2582
Contract Pharmacy Representative
Curtis Harin, Dir. Community Health Center Pharmacies
(864) 430-0906
Signed By Date
10/20/2015
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