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CAREMARK TENNESSEE SPECIALTY PHARMACY, L
CHC26625-02 SANTA BARBARA NEIGHBORHOOD CLINICS
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Covered Entity Details
Entity Name
SANTA BARBARA NEIGHBORHOOD CLINICS
Subdivision Name
Isla Vista Neighborhood Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-02
Entity Address
970 Embarcadero Del Mar
Ste C
Goleta, CA 93117-4868
Grant Number
H80CS26625
Participating Start Date
1/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
CAREMARK TENNESSEE SPECIALTY PHARMACY, L
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
8370 WOLF LAKE DR
STE 107
BARTLETT, TN 38133
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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