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CAREKINESIS
CH09108S CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
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Covered Entity Details
Entity Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Subdivision Name
San Ysidro Adult Day Healthcare Center
Type
HRSA-Funded Health Center
340B ID
CH09108S
Entity Address
3364 Beyer Blvd
San Diego, CA 92173-1322
Grant Number
H80CS10748
Participating Start Date
4/1/2013
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CAREKINESIS
Pharmacy Address
228 STRAWBRIDGE DR STE 200
MOORESTOWN, NJ 08057-4600
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Mattson, President & CEO
(619) 662-6322
Contract Pharmacy Representative
CareKinesis
Michael Greenhalgh, Pharmacist in Charge COO
(888) 974-2763
Signed By Date
7/15/2016
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