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JCH LTC PHARMACY LLC
CHC28364-00 CARES COMMUNITY HEALTH
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Covered Entity Details
Entity Name
CARES COMMUNITY HEALTH
Subdivision Name
Cares Community Health dba One Community Health - Midtown
Type
HRSA-Funded Health Center
340B ID
CHC28364-00
Entity Address
1500 21st Street, Basement, 1st Floor, 2nd Floor/East Wing BLDG A
Sacramento, CA 95811
Grant Number
H80CS28364
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JCH LTC PHARMACY LLC
Pharmacy Address
DBA PUCCI'S LTC PHARMACY
1428 33RD ST
SACRAMENTO, CA 95816
Pharmacy Comments
Contract Details
Approval Date
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Ann Laufman Monroe, CEO
(916) 914-6240
Contract Pharmacy Representative
Puccis Pharmacy
Clint Hopkins, President
(916) 442-5891
Signed By Date
4/5/2023
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