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WEST COAST PHARMACY
CHC12872-06 WellSpace Health
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Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
Oak Park Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12872-06
Entity Address
3415 Martin Luther King Jr Blvd
Sacramento, CA 95817-3648
Grant Number
H80CS12872
Participating Start Date
7/1/2018
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WEST COAST PHARMACY
Pharmacy Address
DBA: WEST COAST PHARMACY, INC.
5731 WATT AVENUE
NORTH HIGHLANDS, CA 95660
Pharmacy Comments
Contract Details
Approval Date
3/20/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jonathan A. Porteus, CEO
(916) 313-8413
Contract Pharmacy Representative
Henry Le, Owner
(916) 331-4652
Signed By Date
1/14/2013
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