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SF GENERAL HOSPITAL MED CEN
CH09107C SF COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
CASTRO-MISSION HEALTH CENTER - HEALTH CENTER #1
Type
HRSA-Funded Health Center
340B ID
CH09107C
Entity Address
3850 17TH ST
SAN FRANCISCO, CA 94114
Grant Number
H80CS00049
Participating Start Date
1/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SF GENERAL HOSPITAL MED CEN
Pharmacy Address
1001 POTRERO AVE
DEPT OF PHARMACY ROOM 1P2
SAN FRANCISCO, CA 94110-3518
Pharmacy Comments
Contract Details
Approval Date
11/28/2012
Contract Begin Date
11/28/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Woods, Chief Pharmacy Officer
(628) 206-2332
Contract Pharmacy Representative
Elena Tinloy, Director of Pharmacy, San Francisco General Hospital
(415) 206-6251
Signed By Date
9/18/2012
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