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HILLCREST PHARMACY
CH093120 FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Logan Heights Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH093120
Entity Address
1809 National Ave
San Diego, CA 92113-2113
Grant Number
H80CS00224
Participating Start Date
12/1/1992
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
HILLCREST PHARMACY
Pharmacy Address
120 UNIVERSITY AVE
SAN DIEGO, CA 92103
Pharmacy Comments
Contract Details
Approval Date
9/26/2011
Contract Begin Date
9/26/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Ownership change
Contacts
Covered Entity Signing Official
Fran Butler-Cohen, CEO
(619) 515-2301
Contract Pharmacy Representative
Susan Baeza, Owner
(619) 260-1010
Signed By Date
9/30/2011
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