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DINUBA PHARMACY
CH091100 VALLEY HEALTH TEAM, INC.
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Covered Entity Details
Entity Name
VALLEY HEALTH TEAM, INC.
Subdivision Name
SAN JOAQUIN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH091100
Entity Address
21890 COLORADO AVENUE
SAN JOAQUIN, CA 93660-0737
Grant Number
H80CS00525
Participating Start Date
7/1/1999
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
DINUBA PHARMACY
Pharmacy Address
DINUBA PHARMACY
172 N L ST.
DINUBA, CA 93618
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943
Contract Pharmacy Representative
Dinuba Pharmacy
Emad Morcos, President
(559) 725-4525
Signed By Date
1/14/2019
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