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TED'S VILLAGE PHARMACY INC
STD944039 SAN MATEO COUNTY HEALTH SERVICES AGENCY
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Covered Entity Details
Entity Name
SAN MATEO COUNTY HEALTH SERVICES AGENCY
Subdivision Name
PHPP, STD Control and Prevention
Type
Sexually Transmitted Diseases
340B ID
STD944039
Entity Address
225 W 37TH AVENUE, Building A
c/o STD Control Program
230
SAN MATEO, CA 94403
Grant Number
1H25PS005127
Participating Start Date
1/1/1998
Last Recertification Date
5/29/2025
Pharmacy Details
Pharmacy Name
TED'S VILLAGE PHARMACY INC
Pharmacy Address
29 W 25TH AVE
SAN MATEO, CA 94403-2236
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/12/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anita Booker, Public Health Clinics Manager
(650) 573-2493
Contract Pharmacy Representative
Signed By Date
4/15/2015
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