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LA BUENA VIDA PHARMACY INC
CH090250 CLINICAS DE SALUD DEL PUEBLO,Inc.
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Covered Entity Details
Entity Name
CLINICAS DE SALUD DEL PUEBLO,Inc.
Subdivision Name
Innercare K Street
Type
HRSA-Funded Health Center
340B ID
CH090250
Entity Address
1166 K St
Brawley, CA 92227-2737
Grant Number
H80CS00733
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LA BUENA VIDA PHARMACY INC
Pharmacy Address
DBA LA BUENA VIDA PHARMACY
51-335 CESAR CHAVEZ ST STE 116
COACHELLA, CA 92236
Pharmacy Comments
Contract Details
Approval Date
10/8/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Contract Pharmacy Representative
La Buena Vida
Simone Yik, Pharm.D
(760) 398-8866
Signed By Date
10/8/2013
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