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COMMUNITY MEDICAL CENTER PHARMACY
DSH050222 SHARP CHULA VISTA MEDICAL CENTER
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Covered Entity Details
Entity Name
SHARP CHULA VISTA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050222
Entity Address
751 MEDICAL CENTER COURT
CHULA VISTA, CA 91911
Medicare Provider Number
050222
Participating Start Date
7/1/2004
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
COMMUNITY MEDICAL CENTER PHARMACY
Pharmacy Address
750 MEDICAL CENTER CRT
STE. 1
CHULA VISTA, CA 91911-6634
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
RICK KING, CFO
(619) 502-3664
Contract Pharmacy Representative
George Awad, Pharmacy Director
(619) 997-4702
Signed By Date
7/14/2015
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