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DIPLOMAT SPECIALTY PHARMACY
CHC24114-00 Santa Cruz Community Health Centers
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Covered Entity Details
Entity Name
Santa Cruz Community Health Centers
Subdivision Name
Santa Cruz Women's Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24114-00
Entity Address
250 Locust Street
Santa Cruz, CA 95060-3813
Grant Number
H80CS24114
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY PHARMACY
Pharmacy Address
15211 VANOWEN ST
STE 301
VAN NUYS, CA 91405
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leslie Conner, Executive Director
(831) 427-3582 Ext: 134
Contract Pharmacy Representative
Santa Cruz Community Health Centers
Maritza Lanthier, Finance Director
(831) 427-3500 Ext: 120
Signed By Date
7/15/2019
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