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RALEY'S PHARMACY #247
CAH051316-00 Fairchild Medical Center
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Covered Entity Details
Entity Name
Fairchild Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051316-00
Entity Address
444 Bruce St
Yreka, CA 96097
Medicare Provider Number
051316
Participating Start Date
7/1/2013
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
RALEY'S PHARMACY #247
Pharmacy Address
1842 FORT JONES STREET
YREKA, CA 96097
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly Martin, CFO
(530) 841-6235
Contract Pharmacy Representative
Raley's Pharmacy
David Fluitt, Director of Pharmacy Operations
(916) 373-6146
Signed By Date
7/11/2019
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