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MEDICINE SHOPPE #793
CHC26625-05 Santa Barbara Neighborhood Clinics
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Covered Entity Details
Entity Name
Santa Barbara Neighborhood Clinics
Subdivision Name
Westside Neighborhood Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-05
Entity Address
628 W Micheltorena St
Santa Barbara, CA 93101-4131
Grant Number
H80CS26625
Participating Start Date
7/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
MEDICINE SHOPPE #793
Pharmacy Address
3605 STATE ST
SANTA BARBARA, CA 93105
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319
Contract Pharmacy Representative
Medicine Shoppe Uptown Pharmacy
Torian Thomasco, Owner
(805) 687-1376
Signed By Date
4/9/2025
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