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PALM CARE PHARMACY
CHC26623-00 OPERATION SAMAHAN, INC.
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Covered Entity Details
Entity Name
OPERATION SAMAHAN, INC.
Subdivision Name
OPSAM HEALTH: 2835 Highland
Type
HRSA-Funded Health Center
340B ID
CHC26623-00
Entity Address
2835 Highland Ave
National City, CA 91950-7412
Grant Number
H80CS26623
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PALM CARE PHARMACY
Pharmacy Address
505 N MOLLISON AVE STE 102
EL CAJON, CA 92021-6159
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elidoro Primero, Executive Director
(844) 200-2426 Ext: 1071
Contract Pharmacy Representative
PALM CARE PHARMACY
Usama Alkazaki, CEO/PIC
(619) 457-0545
Signed By Date
10/14/2021
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