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RALPHS GROCERY CO
RWI98 DESERT AIDS PROJECT, INC
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Covered Entity Details
Entity Name
DESERT AIDS PROJECT, INC
Subdivision Name
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT
Type
Ryan White Part A
340B ID
RWI98
Entity Address
Desert AIDS Project HIVHC
1695 NORTH SUNRISE WAY
PALM SPRINGS, CA 92262
Grant Number
H89HA00032
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO
Pharmacy Address
DBA RALPHS #611
425 S SUNRISE WAY STE A
PALM SPRINGS, CA 92262
Pharmacy Comments
Contract Details
Approval Date
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Brinkman, Chief Executive Officer
(760) 992-0418
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/7/2020
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