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SANTA BARBARA SPECIALTY PHARMACY LLC
CH05320Z HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Avondale Meadows Academy School-Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH05320Z
Entity Address
3980 Meadows Dr
Indianapolis, IN 46205-3114
Grant Number
H80CS00114
Participating Start Date
1/1/2016
Last Recertification Date
2/3/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
SANTA BARBARA SPECIALTY PHARMACY LLC
Pharmacy Address
4690 CARPINTERIA AVE STE B
CARPINTERIA, CA 93013
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
4/15/2024
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