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IMGRX SJ VALLEY, INC. DBA
CH090560 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
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Covered Entity Details
Entity Name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Subdivision Name
UNITED HEALTH CENTERS PARLIER
Type
HRSA-Funded Health Center
340B ID
CH090560
Entity Address
650 S Zediker Ave
Parlier, CA 93648-2639
Grant Number
H80CS00137
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2021
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
IMGRX SJ VALLEY, INC. DBA
Pharmacy Address
UNITED HEALTH CENTERS PHARMACY ORANGE CO
445 11TH STREET
ORANGE COVE, CA 93646
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
1/10/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
COLLEEN CURTIS, CEO
(559) 646-6618 Ext: 0007
Contract Pharmacy Representative
Cardinal Health
Naveen Mansukhani, National Operations Director
(732) 328-0515
Signed By Date
1/10/2019
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