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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
STD96002 PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA
Subdivision Name
REDDING CENTER
Type
Sexually Transmitted Diseases
340B ID
STD96002
Entity Address
2935 BECHELLI LANE
SUITE C
REDDING, CA 96002
Grant Number
1H25PS005127
Participating Start Date
7/1/2014
Last Recertification Date
5/23/2025
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
9/2/2022
Contract Begin Date
9/12/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gloria Martinez, Medical Services & Purchasing Manager
(925) 887-5217
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
9/2/2022
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