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SAVE MART PHARMACY #45
CHC08739-00 Aria Community Health Center
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Covered Entity Details
Entity Name
Aria Community Health Center
Subdivision Name
AVENAL COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08739-00
Entity Address
1000 Skyline Blvd Ste A
Avenal, CA 93204-1850
Grant Number
H80CS08739
Participating Start Date
7/1/2009
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
SAVE MART PHARMACY #45
Pharmacy Address
900 WEST HENDERSON
PORTERVILLE, CA 93257-1704
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
8/5/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/17/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
John Blaine, CEO
(559) 386-4500 Ext: 1010
Contract Pharmacy Representative
Save Mart Supermarkets
Robert Vaughan, Executive Director, Pharmacy
(209) 574-6299
Signed By Date
7/14/2020
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