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MISSION WELLNESS PHARMACY
CH09107BM SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
Subdivision Name
Tenderloin Health Services, a program of HealthRIGHT360
Type
HRSA-Funded Health Center
340B ID
CH09107BM
Entity Address
330 ELLIS ST
SAN FRANCISCO, CA 94102-2735
Grant Number
H80CS00049
Participating Start Date
7/1/2008
Last Recertification Date
1/29/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
MISSION WELLNESS PHARMACY
Pharmacy Address
2424 MISSION STREET
SAN FRANCISCO, CA 94110
Pharmacy Comments
Contract Details
Approval Date
10/5/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Vitka Eisen, CEO
(415) 762-1558
Contract Pharmacy Representative
Maria Lopez, Pharmacist in Charge/Manager
(415) 826-3484
Signed By Date
10/5/2015
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