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IMGRX SONOMA, INC. DBA
CH0925380 SONOMA VALLEY COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SONOMA VALLEY COMMUNITY HEALTH CENTER
Subdivision Name
Sonoma Valley Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0925380
Entity Address
19270 Sonoma Highway
Sonoma, CA 95476-5414
Grant Number
H80CS06649
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
IMGRX SONOMA, INC. DBA
Pharmacy Address
SONOMA VALLEY COMMUNITY PHARMACY
19270 SONOMA HIGHWAY, SUITE A
SONOMA, CA 95476
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
1/11/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Johnson, CEO
(707) 939-6075
Contract Pharmacy Representative
Cardinal Health
Naveen Mansukhani, National Operations Director
(732) 328-0515
Signed By Date
1/11/2019
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