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WATSONVILLE PHARMACY
CH09088C SANTA CRUZ, COUNTY OF
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Covered Entity Details
Entity Name
SANTA CRUZ, COUNTY OF
Subdivision Name
WATSONVILLE HEALTH CENTER - BUILDING D
Type
HRSA-Funded Health Center
340B ID
CH09088C
Entity Address
1430 Freedom Blvd, Building D
WATSONVILLE, CA 95076-2723
Grant Number
H80CS00048
Participating Start Date
1/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WATSONVILLE PHARMACY
Pharmacy Address
1433 FREEDOM BLVD
WATSONVILLE, CA 95076
Pharmacy Comments
Contract Details
Approval Date
3/7/2012
Contract Begin Date
3/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Giang T. Nguyen, Health Services Agency Director
(831) 454-4324
Contract Pharmacy Representative
John Lindberg, President
(931) 728-1818
Signed By Date
2/23/2012
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