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DOLPHIN HEALTH PHARMACY
CHC00381-01 SAN FRANCISCO MEDICAL CENTER OUTPATIENT IMPROVEMENT PROGRAMS, INCORPORATED
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Covered Entity Details
Entity Name
SAN FRANCISCO MEDICAL CENTER OUTPATIENT IMPROVEMENT PROGRAMS, INCORPORATED
Subdivision Name
EQUITY HEALTH - BAYVIEW
Type
HRSA-Funded Health Center
340B ID
CHC00381-01
Entity Address
3450 3RD ST
SAN FRANCISCO, CA 94124-1443
Grant Number
H80CS00381
Participating Start Date
4/1/2017
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
DOLPHIN HEALTH PHARMACY
Pharmacy Address
7400 MACARTHUR BLVD
SUITE A
OAKLAND, CA 94605
Pharmacy Comments
Contract Details
Approval Date
1/15/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles E. Range, CEO Emeritus
(415) 503-6054
Contract Pharmacy Representative
Dolphin Health Pharmacy Vibrant Care Pharmacy
scott bui, director of pharmacy
(510) 780-6254
Signed By Date
1/15/2017
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