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AHF PHARMACY
CH09072Z North County Health Project Incorporated
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Covered Entity Details
Entity Name
North County Health Project Incorporated
Subdivision Name
TrueCare Mobile Unit 2
Type
HRSA-Funded Health Center
340B ID
CH09072Z
Entity Address
150 Valpreda Road
San Marcos, CA 92069-2973
Grant Number
H80CS00228
Participating Start Date
4/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
1988 HACIENDA DR
VISTA, CA 92081-6026
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
Marie Russell, Chief Medical Officer
(760) 736-8689
Contract Pharmacy Representative
AIDS HEALTHCARE FOUNDATION
Scott Carruthers, Chief Pharmacy Officer
(323) 860-5200 Ext: 5266
Signed By Date
10/13/2023
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