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RALPHS GROCERY CO
CHC24151-02 SAMUEL DIXON FAMILY HEALTH CEN
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Covered Entity Details
Entity Name
SAMUEL DIXON FAMILY HEALTH CEN
Subdivision Name
Val Verde Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24151-02
Entity Address
30257 San Martinez Rd
Castaic, CA 91384-2472
Grant Number
H80CS24151
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO
Pharmacy Address
DBA RALPHS #84
29675 THE OLD ROAD NORTH
CASTAIC, CA 91384
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Philip Solomon, EXECUTIVE DIRECTOR
(661) 257-2339 Ext: 307
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
7/1/2022
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