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GOKUL CORPORATION
CH09366A COMMUNITY HEALTH SYSTEMS, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Fallbrook Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09366A
Entity Address
1328 S Mission Rd
Fallbrook, CA 92028
Grant Number
H80CS00222
Participating Start Date
7/1/2000
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GOKUL CORPORATION
Pharmacy Address
DBA VILLAGE PHARMACY
587 E ELDER ST
STE C
FALLBROOK, CA 92028
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
Promise Health, Inc.
Badal Satasia, CEO
(760) 645-3021
Signed By Date
7/2/2024
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