Contract Pharmacy Details

MEDICAL CENTER PHARMACY
CHC26623-00 OPERATION SAMAHAN, INC.

Covered Entity Details

Entity Name

OPERATION SAMAHAN, INC.

Subdivision Name

OPSAM HEALTH: 2835 Highland

Type

HRSA-Funded Health Center

340B ID

CHC26623-00

Entity Address

2835 Highland Ave
National City, CA 91950-7412

Grant Number

H80CS26623

Participating Start Date

4/1/2014

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

MEDICAL CENTER PHARMACY

Pharmacy Address

MCP16
286 EUCLID AVE, #206
SAN DIEGO, CA 92114

Pharmacy Comments

Contract Details

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/13/2021
Ownership change

Contacts

Covered Entity Signing Official

Dirk Darwin Zirbel, CEO
(310) 699-0998

Contract Pharmacy Representative

George Awad, Pharmacy Director
(619) 997-4702

Signed By Date

4/14/2017