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SCRIPPS HEALTH ENCINITAS AMBULATORY PHAR
DSH050077 SCRIPPS MERCY HOSPITAL
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Covered Entity Details
Entity Name
SCRIPPS MERCY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050077
Entity Address
4077 FIFTH AVENUE
SAN DIEGO, CA 92103
Medicare Provider Number
050077
Participating Start Date
1/1/2005
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
SCRIPPS HEALTH ENCINITAS AMBULATORY PHAR
Pharmacy Address
310 SANTA FE DR STE 109
ENCINITAS, CA 92024-5124
Pharmacy Comments
Contract Details
Approval Date
7/20/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Gammiere, CEO
(619) 260-7101
Contract Pharmacy Representative
SCRIPPS HEALTH PHARMACY
Tony Jackson, Senior Director, Pharmacy and Clinical Services
(619) 260-7227
Signed By Date
7/20/2017
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