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SUTTER HEALTH SPECIALTY PHARMACY @ ABSMC
DSH050008 SUTTER BAY HOSPITALS-DBA CALIFORNIA PACIFIC MED CTR DAVIES CAMPUS
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Covered Entity Details
Entity Name
SUTTER BAY HOSPITALS-DBA CALIFORNIA PACIFIC MED CTR DAVIES CAMPUS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050008
Entity Address
601 DUBOCE AVE
SAN FRANCISCO, CA 94117
Medicare Provider Number
050008
Participating Start Date
4/1/2016
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
SUTTER HEALTH SPECIALTY PHARMACY @ ABSMC
Pharmacy Address
2001 DWIGHT WAY STE 2182
BERKELEY, CA 94704
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
HENRY YU, VP AND CFO
(415) 600-3850
Contract Pharmacy Representative
Sutter Health
Tapan Shah, Director Ambulatory Pharmacy
(510) 869-8454
Signed By Date
4/12/2024
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