Contract Pharmacy Details

SF GENERAL HOSPITAL MED CEN
CH09107AA SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM

Covered Entity Details

Entity Name

SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM

Subdivision Name

Lyon-Martin Health Services, a program of HealthRIGHT360

Type

HRSA-Funded Health Center

340B ID

CH09107AA

Entity Address

1735 Mission Street
San Francisco, CA 94103

Grant Number

H80CS00049

Participating Start Date

4/1/2004

Last Recertification Date

2/24/2022

Entity Termination Date

7/1/2022

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

3/11/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2022
Covered Entity Terminated

Contacts

Covered Entity Signing Official

John Gressman, President & CEO
(415) 355-2220

Contract Pharmacy Representative

Elena Tinloy, Director of Pharmacy, San Francisco General Hospital
(415) 206-6251

Signed By Date

1/15/2013

340B Drug Pricing Program Database