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RALPHS GROCERY CO
CH09071AD COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS WOMENS HEALTH
Type
HRSA-Funded Health Center
340B ID
CH09071AD
Entity Address
1551 BISHOP ST STE 240
SAN LUIS OBISPO, CA 93401-4661
Grant Number
H80CS00621
Participating Start Date
10/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO
Pharmacy Address
DBA RALPHS #271
1240 LOS OSOS VALLEY RD
LOS OSOS, CA 93402
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
7/17/2023
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