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RX E-FILL SOLUTIONS
CH09879AC SANTA ROSA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Bridge Campus
Type
HRSA-Funded Health Center
340B ID
CH09879AC
Entity Address
2235 Challenger Way, Ste 109
Santa Rosa, CA 95407-5421
Grant Number
H80CS00259
Participating Start Date
11/21/2018
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gabriela Bernal Leroi, Chief Executive Officer
(415) 312-9646
Contract Pharmacy Representative
Cardinal Health
Naveen Mansukhani, National Operations Director
(732) 328-0515
Signed By Date
10/16/2023
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