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SF GENERAL HOSPITAL MED CEN
CH090660 MISSION AREA HEALTH ASSOCIATES
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Covered Entity Details
Entity Name
MISSION AREA HEALTH ASSOCIATES
Subdivision Name
MISSION NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH090660
Entity Address
240 Shotwell St
San Francisco, CA 94110-1323
Grant Number
H80CS00590
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
SF GENERAL HOSPITAL MED CEN
Pharmacy Address
1001 POTRERO AVE
DEPT OF PHARMACY ROOM 1P2
SAN FRANCISCO, CA 94110-3518
Pharmacy Comments
Contract Details
Approval Date
3/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brenda Y. Storey, CEO
(415) 552-1013 Ext: 2201
Contract Pharmacy Representative
Elena Tinloy, Director of Pharmacy, San Francisco General Hospital
(415) 206-6251
Signed By Date
1/15/2013
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