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EL NUDO, LLC DBA NUDO'S PHARMACY
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
EL NUDO, LLC DBA NUDO'S PHARMACY
Pharmacy Address
NA
455 N MAGNOLIA AVE
EL CAJON, CA 92020-3606
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
10/27/2021
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
Nudo's Pharmacy
Bijan Sabouri, Owner
(858) 531-3151
Signed By Date
10/15/2021
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