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CAREPHARM PHARMACY
CH09039AN CLINICA SIERRA VISTA
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Covered Entity Details
Entity Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - Greenfield Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09039AN
Entity Address
9001 South H Street
Bakersfield, CA 93307
Grant Number
H80CS00540
Participating Start Date
1/1/2014
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
CAREPHARM PHARMACY
Pharmacy Address
4700 PANAMA LN UNIT 116
BAKERSFIELD, CA 93313-3481
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Contract Pharmacy Representative
Clinica Sierra Vista
Kristin Andolfo, 340B Analyst
(917) 502-0819
Signed By Date
7/15/2024
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