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MENDOCINO VILLAGE PHARMACY
CH091025A MENDOCINO COAST CLINICS, INC.
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Covered Entity Details
Entity Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
Mendocino Coast Clinics
Type
HRSA-Funded Health Center
340B ID
CH091025A
Entity Address
855 Sequoia Cir
Fort Bragg, CA 95437-5466
Grant Number
H80CS00876
Participating Start Date
1/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MENDOCINO VILLAGE PHARMACY
Pharmacy Address
10501 LANSING STREET
PO BOX 904
MENDOCINO, CA 95460
Pharmacy Comments
Contract Details
Approval Date
3/21/2011
Contract Begin Date
3/21/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/18/2011
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