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AHCS ALLEN, LLC
CH0933070 ST. VINCENT DE PAUL VILLAGE, INC.
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Covered Entity Details
Entity Name
ST. VINCENT DE PAUL VILLAGE, INC.
Subdivision Name
Village Health Center
Type
HRSA-Funded Health Center
340B ID
CH0933070
Entity Address
16 15th St
San Diego, CA 92101
Grant Number
H80CS10606
Participating Start Date
9/5/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AHCS ALLEN, LLC
Pharmacy Address
ALLEN PHARMACY
333 C ST STE 100
SAN DIEGO, CA 92101
Pharmacy Comments
Contract Details
Approval Date
10/25/2024
Contract Begin Date
10/25/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Bishop, Medical Director
(619) 233-8500
Contract Pharmacy Representative
Allen Pharmacy
Aram Penaranda, CFO
(619) 232-8101
Signed By Date
10/25/2024
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