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BECKER PHARMACY INC DBA EAGLE DRUG
CH0922930 WINTERS HEALTHCARE FOUNDATION INC
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Covered Entity Details
Entity Name
WINTERS HEALTHCARE FOUNDATION INC
Subdivision Name
WINTERS HEALTHCARE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH0922930
Entity Address
172 E. Grant Ave
Winters, CA 95694-1722
Grant Number
H80CS04430
Participating Start Date
9/9/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BECKER PHARMACY INC DBA EAGLE DRUG
Pharmacy Address
101 MAIN ST
WINTERS, CA 95694-1930
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/29/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
CHRISTOPHER KELSCH, EXECUTIVE DIRECTOR
(530) 795-4377 Ext: 1035
Contract Pharmacy Representative
Jodie Becker, Pharmacist in Charge
(530) 795-4123 Ext: 1
Signed By Date
10/12/2015
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