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RIVERSIDE PHARMACY
CHC28980-00 HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
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Covered Entity Details
Entity Name
HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
Subdivision Name
Harmony Health Medical Clinic and Family Resource Center
Type
HRSA-Funded Health Center
340B ID
CHC28980-00
Entity Address
1908 N BEALE RD
Suite E
MARYSVILLE, CA 95901-6937
Grant Number
H80CS28980
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RIVERSIDE PHARMACY
Pharmacy Address
SCRIPT DEPOT LP DBA
866 PLUMAS ST STE C
YUBA CITY, CA 95991
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Hunter, CFO
(530) 743-6888 Ext: 5307436888
Contract Pharmacy Representative
Franklin Pharmacy
Khaled Sedki, Owner
(530) 634-3277
Signed By Date
1/15/2019
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