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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CHC26625-00 SANTA BARBARA NEIGHBORHOOD CLINICS
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Covered Entity Details
Entity Name
SANTA BARBARA NEIGHBORHOOD CLINICS
Subdivision Name
Goleta Neighborhood Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-00
Entity Address
5580 Calle Real
Goleta, CA 93111-1646
Grant Number
H80CS26625
Participating Start Date
10/1/2014
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/17/2022
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