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VIBRANT CARE PHARMACY, INC.
STD94603 Roots Community Health Center
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Covered Entity Details
Entity Name
Roots Community Health Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD94603
Entity Address
9925 International Blvd
5
Oakland, CA 94603
Grant Number
1H25PS005127
Participating Start Date
10/1/2019
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
VIBRANT CARE PHARMACY, INC.
Pharmacy Address
7400 MACARTHUR BLVD STE B
OAKLAND, CA 94605-2939
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Noha Aboelata, CEO
(510) 777-1177
Contract Pharmacy Representative
Vibrant Care Pharmacy
Kal Patel, Owner
(510) 406-3089
Signed By Date
10/14/2019
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