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DIB PHARMACEUTICAL INC
CH099010 BORREGO COMMUNITY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
BORREGO COMMUNITY HEALTH FOUNDATION
Subdivision Name
BORREGO COMMUNITY HEALTH FOUNDATION
Type
HRSA-Funded Health Center
340B ID
CH099010
Entity Address
4343 YAQUI PASS ROAD
BORREGO SPRINGS, CA 92004-2369
Grant Number
H80CS00287
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
DIB PHARMACEUTICAL INC
Pharmacy Address
DBA: BETTER LIFE PHARMACY
528 E MAIN ST
EL CAJON, CA 92020
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Edgar Bulloch, Interim CEO
(760) 767-6641
Contract Pharmacy Representative
Dib Pharmaceutical, Inc.
Nadim Dib, Pharmacist In Charge
(504) 982-2556
Signed By Date
4/15/2021
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