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WELLPARTNER, INC
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
WELLPARTNER, INC
Pharmacy Address
20800 SW 115TH AVE
SUITE 100
TUALATIN, OR 97062
Pharmacy Comments
Contract Details
Approval Date
1/5/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/23/2016
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
Wellpartner, inc
Harish Thiagaraj, Senior Vice President of Pharmacy/Specialty Pharmacy
(503) 906-6887
Signed By Date
1/5/2016
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