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WESTERN PHARMACY GROUP LLC
CHC26623-00 OPERATION SAMAHAN, INC.
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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
WESTERN PHARMACY GROUP LLC
Pharmacy Address
DBA MEDICAL CENTER PHARMACY
340 4TH AVE STE 1
CHULA VISTA, CA 91910-3882
Pharmacy Comments
Contract Details
Approval Date
3/9/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dirk Darwin Zirbel, CEO
(310) 699-0998
Contract Pharmacy Representative
Western Pharmacy Group
Doug Faucher, Pharmacist
(619) 422-9291
Signed By Date
3/9/2018
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