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MARIN APOTHECARIES, INC.
CH09879H SANTA ROSA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
VISTA CAMPUS
Type
HRSA-Funded Health Center
340B ID
CH09879H
Entity Address
3569 Round Barn Cir
Santa Rosa, CA 95403-1757
Grant Number
H80CS00259
Participating Start Date
1/1/2008
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MARIN APOTHECARIES, INC.
Pharmacy Address
LOMBARDI ROSA PHARMACY
751 LOMBARDI CT
SUITE 100
SANTA ROSA, CA 95407-6798
Pharmacy Comments
Contract Details
Approval Date
1/5/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Naomi Fuchs, CEO
(707) 303-3091
Contract Pharmacy Representative
Cristie Pellegrini, Regional Director of Pharmacies
(512) 596-2930 Ext: 706
Signed By Date
1/5/2015
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