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GV PMQ NORTHVIEW PHARMACY
CH090470 GOLDEN VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC - MERCED SUITES
Type
HRSA-Funded Health Center
340B ID
CH090470
Entity Address
847 W. CHILDS AVE
MERCED, CA 95341-6862
Grant Number
H80CS00742
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GV PMQ NORTHVIEW PHARMACY
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES
3940 SANDPIPER AVENUE, PHARMACY 181
MERCED, CA 95340
Pharmacy Comments
Contract Details
Approval Date
3/26/2020
Contract Begin Date
3/26/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
PharMedQuest
Jerry Chang, Pharmacist
(714) 364-4008 Ext: 104
Signed By Date
3/26/2020
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