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MOWRY MEDICAL PHARMACY
CH091220 BAY AREA COMMUNITY HEALTH
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Covered Entity Details
Entity Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
Mowry I Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH091220
Entity Address
2299 MOWRY AVE STE 3B
FREMONT, CA 94538-1621
Grant Number
H80CS02326
Participating Start Date
7/1/1996
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
MOWRY MEDICAL PHARMACY
Pharmacy Address
1999 MOWRY AVENUE
SUITE #2A
FREMONT, CA 94538-3203
Pharmacy Comments
Contract Details
Approval Date
3/1/2003
Contract Begin Date
3/1/2003
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2024
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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