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SF GENERAL HOSPITAL MED CEN
CH09107BS SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
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Covered Entity Details
Entity Name
SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM
Subdivision Name
HealthRIGHT360 - Integrated Care Center
Type
HRSA-Funded Health Center
340B ID
CH09107BS
Entity Address
1563 Mission Street
San Francisco, CA 94103
Grant Number
H80CS00049
Participating Start Date
4/1/2013
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
SF GENERAL HOSPITAL MED CEN
Pharmacy Address
1001 POTRERO AVE
DEPT OF PHARMACY ROOM 1P2
SAN FRANCISCO, CA 94110-3518
Pharmacy Comments
Contract Details
Approval Date
4/1/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vitka Eisen, CEO
(415) 762-1558
Contract Pharmacy Representative
Elena Tinloy, Director of Pharmacy, San Francisco General Hospital
(415) 206-6251
Signed By Date
4/1/2014
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