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THE MEDICINE SHOPPE
CHC24201-00 URBAN COMMUNITY ACTION PROJECTS
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Covered Entity Details
Entity Name
URBAN COMMUNITY ACTION PROJECTS
Subdivision Name
City of Riverside Emergency Shelter
Type
HRSA-Funded Health Center
340B ID
CHC24201-00
Entity Address
2880 Hulen
Riverside, CA 92507-2606
Grant Number
H80CS24201
Participating Start Date
7/1/2018
Last Recertification Date
1/30/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
10237 MAGNOLIA VE
RIVERSIDE, CA 92503-3440
Pharmacy Comments
Contract Details
Approval Date
4/17/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gale Taylor, Chief Financial Officer
(360) 280-0737
Contract Pharmacy Representative
Medicine Shoppe
Michal Tadros, Pharmacist
(951) 509-9277
Signed By Date
4/17/2016
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