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DEMARTINI SPRING HILL PHCY INC
FQHCLA106 SIERRA FAMILY MEDICAL CLINIC, INC.
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Covered Entity Details
Entity Name
SIERRA FAMILY MEDICAL CLINIC, INC.
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA106
Entity Address
15301 TYLER FOOTE ROAD
NEVADA CITY, CA 95959
Grant Number
LALCS00058
Participating Start Date
4/1/2002
Last Recertification Date
2/2/2015
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
DEMARTINI SPRING HILL PHCY INC
Pharmacy Address
DEMARTINI'S COMPOUNDING CENTER
102 CATHERINE LANE
GRASS VALLEY, CA 95945-9594
Pharmacy Comments
Contract Details
Approval Date
1/25/2011
Contract Begin Date
1/25/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
RICHARD MANTLE, CFO
(530) 292-3478 Ext: 204
Contract Pharmacy Representative
DAVID DEMARTINI, PRESIDENT
(530) 273-2268
Signed By Date
11/10/2010
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