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PATTERSON FAMILY PHARMACY
CH09047E GOLDEN VALLEY HEALTH CENTER
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Covered Entity Details
Entity Name
GOLDEN VALLEY HEALTH CENTER
Subdivision Name
GVHC - Patterson
Type
HRSA-Funded Health Center
340B ID
CH09047E
Entity Address
200 C STREET
PATTERSON, CA 95363
Grant Number
H80CS00742
Participating Start Date
7/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PATTERSON FAMILY PHARMACY
Pharmacy Address
47 SOUTH DEL PUERTO AVENUE
PATTERSON, CA 95363
Pharmacy Comments
Contract Details
Approval Date
5/29/2009
Contract Begin Date
5/29/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/13/2009
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