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CLEVELAND PHARMACY INC
CH09321A Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
DMC Family Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH09321A
Entity Address
344 E 6th St
Madera, CA 93638-3631
Grant Number
H80CS00143
Participating Start Date
1/1/2003
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CLEVELAND PHARMACY INC
Pharmacy Address
DBA CLEVELAND PHARMACY
483 E ALMOND AVE STE 102
MADERA, CA 93637
Pharmacy Comments
Contract Details
Approval Date
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
Cleveland Pharmacy
Mohamed Elsayed, Owner
(559) 395-4127
Signed By Date
7/14/2022
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