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FALLBROOK PHARMACY
FP920697 NORTH COUNTY HEALTH SERVICES
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Covered Entity Details
Entity Name
NORTH COUNTY HEALTH SERVICES
Subdivision Name
ADMINISTRATIVE OFFICE & CLINIC
Type
Family Planning (Title X only)
340B ID
FP920697
Entity Address
150 VALPREDA RD
SAN MARCOS, CA 92069
Grant Number
FPHPA096061
Participating Start Date
1/1/1998
Last Recertification Date
5/20/2015
Entity Termination Date
10/1/2015
Pharmacy Details
Pharmacy Name
FALLBROOK PHARMACY
Pharmacy Address
343 E. ALVARADO ST.
FALLBROOK, CA 92028
Pharmacy Comments
Contract Details
Approval Date
8/23/2012
Contract Begin Date
8/23/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
Phil Lenowsky, CFO
(760) 736-6760
Contract Pharmacy Representative
Jan Balthasar, CEO
(949) 215-5522
Signed By Date
7/19/2012
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