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ADVENTIST HEALTH LODI MEMORIAL
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
ADVENTIST HEALTH LODI MEMORIAL
Pharmacy Address
2415 W VINE ST STE 104B
LODI, CA 95242-3731
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christine Noguera, CEO
(209) 373-2826
Contract Pharmacy Representative
Adventist Health Lodi Memorial
Sandy Beck Atwater, Pharmacy Director
(209) 339-7555
Signed By Date
1/10/2020
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