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GARFIELD BEACH CVS, L.L.C.
CHC28981-00 WESTERN SIERRA MEDICAL CLINIC INC
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Covered Entity Details
Entity Name
WESTERN SIERRA MEDICAL CLINIC INC
Subdivision Name
Sierra Family Medical Clinic, Oregon House
Type
HRSA-Funded Health Center
340B ID
CHC28981-00
Entity Address
8676 Marysville Rd.
Oregon House, CA 95962-9718
Grant Number
H80CS08234
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16109
1153 BUTTE HOUSE RD
YUBA CITY, CA 95991
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary Graeber, Senior Accountant
(530) 292-3478 Ext: 219
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2019
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