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C&S PHARMACY
CH09025J CLINICAS DE SALUD DEL PUEBLO INC
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Covered Entity Details
Entity Name
CLINICAS DE SALUD DEL PUEBLO INC
Subdivision Name
Innercare Coachella
Type
HRSA-Funded Health Center
340B ID
CH09025J
Entity Address
50249 Cesar Chavez St
Ste K
Coachella, CA 92236-1530
Grant Number
H80CS00733
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
C&S PHARMACY
Pharmacy Address
DBA: LA BOTICA PHARMACY
49281 GRAPEFRUIT BLVD STE 2
COACHELLA, CA 92236
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
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Contract Pharmacy Representative
C&S Pharmacy
Chandra Patel, Owner
(760) 296-3468
Signed By Date
10/13/2023
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