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DOLPHIN HEALTH PHARMACY
CHC12872-04 WellSpace Health
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Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
St. Johns Shelter for Women and Children
Type
HRSA-Funded Health Center
340B ID
CHC12872-04
Entity Address
4410 Power Inn Road
Sacramento, CA 95826-4352
Grant Number
H80CS12872
Participating Start Date
10/1/2009
Last Recertification Date
2/20/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
DOLPHIN HEALTH PHARMACY
Pharmacy Address
7400 MACARTHUR BLVD
SUITE A
OAKLAND, CA 94605
Pharmacy Comments
Contract Details
Approval Date
7/15/2010
Contract Begin Date
7/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/28/2010
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