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WESTSIDE PHARMACY
CH09116A SALUD PARA LA GENTE
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Covered Entity Details
Entity Name
SALUD PARA LA GENTE
Subdivision Name
CLINICA DEL VALLE DEL PAJARO
Type
HRSA-Funded Health Center
340B ID
CH09116A
Entity Address
45 Nielson St
Watsonville, CA 95076-2468
Grant Number
H80CS00226
Participating Start Date
7/1/2010
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WESTSIDE PHARMACY
Pharmacy Address
1401 MISSION ST
SANTA CRUZ, CA 95060-4738
Pharmacy Comments
Contract Details
Approval Date
5/7/2012
Contract Begin Date
5/7/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Zettie D. Page, CEO
(831) 728-8250
Contract Pharmacy Representative
Chris Quesenberry, Owner
(831) 423-7175
Signed By Date
4/25/2012
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