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CVS CAREMARK
CHC26625-06 Santa Barbara Neighborhood Clinics
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Covered Entity Details
Entity Name
Santa Barbara Neighborhood Clinics
Subdivision Name
Sanctuary Center
Type
HRSA-Funded Health Center
340B ID
CHC26625-06
Entity Address
115 West Anapamu Street, #B151
Santa Barbara, CA 93101
Grant Number
H80CS26625
Participating Start Date
10/1/2018
Last Recertification Date
2/8/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
CVS CAREMARK
Pharmacy Address
DBA CVS/CAREMARK OR CF# 11506
1 GREAT VALLEY BOULEVARD
WILKES BARRE, PA 18706
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
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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