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WAL-MART PHARMACY 10-2031
CH093190 TIBURCIO VASQUEZ HEALTH CENTER INCORPORATED
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Covered Entity Details
Entity Name
TIBURCIO VASQUEZ HEALTH CENTER INCORPORATED
Subdivision Name
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH093190
Entity Address
33255 9th St
Union City, CA 94587-2137
Grant Number
H80CS00223
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2031
Pharmacy Address
30600 DYER STREET
UNION CITY, CA 94587
Pharmacy Comments
Contract Details
Approval Date
1/17/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David B. Vliet, CEO
(510) 690-6050
Contract Pharmacy Representative
CaptureRx
Frank Bernacet, Pharmacy Sales Manager
(210) 452-5165
Signed By Date
1/17/2020
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