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UCI FAMILY HEALTH CENTER
CH093080 UNIVERSITY OF CALIFORNIA, IRVINE
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA, IRVINE
Subdivision Name
UC IRVINE FAMILY HEALTH CENTER - SANTA ANA
Type
HRSA-Funded Health Center
340B ID
CH093080
Entity Address
800 N Main St
Santa Ana, CA 92701-3576
Grant Number
H80CS00461
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UCI FAMILY HEALTH CENTER
Pharmacy Address
PHARMACY
800 N MAIN ST
SANTA ANA, CA 92701
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/18/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Pat Dolphin, EXECUTIVE DIRECTOR, Chief Ambulatory Officer
(714) 456-6943
Contract Pharmacy Representative
UCI Health
Melanie Joe, Chief Pharmacy Officer
(714) 456-5514
Signed By Date
7/13/2015
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