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NILKANTH AMS INC
CH09025A CLINICAS DE SALUD DEL PUEBLO INC
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Covered Entity Details
Entity Name
CLINICAS DE SALUD DEL PUEBLO INC
Subdivision Name
Innercare Brawley
Type
HRSA-Funded Health Center
340B ID
CH09025A
Entity Address
900 Main St
Brawley, CA 92227-2630
Grant Number
H80CS00733
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
NILKANTH AMS INC
Pharmacy Address
DBA: CHOICE PHARMACY
2451 ROCKWOOD AVE STE 120
CALEXICO, CA 92231
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
Choice Pharmacy
Shiv Patel, Owner
(442) 325-8310
Signed By Date
10/13/2023
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