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US BIOSERVICES
CH09107AA SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
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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
US BIOSERVICES
Pharmacy Address
US BIOSERVICE CORPORATION
5025 PLANO PARKWAY
STE 100
CARROLLTON, TX 75010
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Vitka Eisen, CEO
(415) 762-1558
Contract Pharmacy Representative
US Bioservices
Kevin James, VP of Payer Strategy US
(469) 365-7555
Signed By Date
10/6/2015
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