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RALEY'S PHARMACY #445
CH090780 Community Medical Centers, Inc.
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Covered Entity Details
Entity Name
Community Medical Centers, Inc.
Subdivision Name
Community Medical Centers, Channel
Type
HRSA-Funded Health Center
340B ID
CH090780
Entity Address
701 E Channel St.
Stockton, CA 95202-2628
Grant Number
H80CS00138
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
RALEY'S PHARMACY #445
Pharmacy Address
311 SOUTH LOWER SACRAMENTO RD.
LODI, CA 95242
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
8/29/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christine Noguera, CEO
(209) 373-2826
Contract Pharmacy Representative
Raley's
Alisha Reynoso, Pharmacy Operations
(916) 376-6687
Signed By Date
1/15/2019
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