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CHC TEMPLETON PHARMACY
CH09071AX 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 - ARROYO GRANDE
Type
HRSA-Funded Health Center
340B ID
CH09071AX
Entity Address
1205 E. Grand Ave., Ste H
Arroyo Grande, CA 93420
Grant Number
H80CS00621
Participating Start Date
7/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CHC TEMPLETON PHARMACY
Pharmacy Address
1330 LAS TABLAS ROAD
SUITE 140
TEMPLETON, CA 93465
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
Cardinal Health
Naveen Mansukhani, National Operations Director
(732) 328-0515
Signed By Date
10/13/2023
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