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SANTA MARIA PHARMACY
CHC10608-29 Central City Community Health Center, Inc.
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Covered Entity Details
Entity Name
Central City Community Health Center, Inc.
Subdivision Name
CCCHC- Baldwin Park Dental Mobile
Type
HRSA-Funded Health Center
340B ID
CHC10608-29
Entity Address
4126 Maine Ave
Baldwin Park, CA 91706-3306
Grant Number
H80CS10608
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SANTA MARIA PHARMACY
Pharmacy Address
1224 S BROOKHURST ST
ANAHEIM, CA 92804
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
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
Santa Maria Pharmacy
Marcos Soleman, Owner
(626) 443-3089
Signed By Date
10/13/2023
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