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MEL PHARM INC
CH093210 Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC WOMEN'S CARE HEALTH CTR
Type
HRSA-Funded Health Center
340B ID
CH093210
Entity Address
201 S B St
Madera, CA 93638-3719
Grant Number
H80CS00143
Participating Start Date
4/1/2001
Last Recertification Date
1/31/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
MEL PHARM INC
Pharmacy Address
MADERA MEDICAL PHARMACY
402 S MADERA AVE STE A
MADERA, CA 93637-3203
Pharmacy Comments
Contract Details
Approval Date
1/16/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Mel-Pharm Inc.
Sirtaj Singh, President/Owner
(559) 674-8553
Signed By Date
1/16/2020
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