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PREMIER PHARMACY SERVICES
CH091750 MOUNTAIN VALLEYS HEALTH CENTERS
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Covered Entity Details
Entity Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
BIG VALLEY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH091750
Entity Address
554-850 MEDICAL CENTER DRIVE
BIEBER, CA 96009-0277
Grant Number
H80CS00260
Participating Start Date
4/1/2000
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
410 CLOVERLEAF DR
BALDWIN PARK, CA 91706
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVE JONES, CEO
(530) 294-5241
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
10/10/2018
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