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WAL-MART PHARMACY 10-1772
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
WAL-MART PHARMACY 10-1772
Pharmacy Address
3600 WASHBURN WAY
KLAMATH FALLS, OR 97603
Pharmacy Comments
Contract Details
Approval Date
9/7/2012
Contract Begin Date
9/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVE JONES, CEO
(530) 294-5241
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
8/6/2012
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