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SHARP CENTRAL PHARMACY SERVICES
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
SHARP CENTRAL PHARMACY SERVICES
Pharmacy Address
3558 RUFFIN RD STE 101
SAN DIEGO, CA 92123
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RICK KING, CFO
(619) 502-3664
Contract Pharmacy Representative
Bruce Schmidt, Pharmacy Manager
(858) 627-5646
Signed By Date
7/15/2015
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