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SAVE MART PHARMACY #73
CH09056W United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
United Health Centers - Parlier Manning
Type
HRSA-Funded Health Center
340B ID
CH09056W
Entity Address
429 E Manning Ave
Parlier, CA 93648-2600
Grant Number
H80CS00137
Participating Start Date
7/6/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SAVE MART PHARMACY #73
Pharmacy Address
105 WEST HANFORD-ARMONA RD
LEMOORE, CA 93245-2321
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
Save Mart Supermarkets
Robert Vaughan, Executive Director, Pharmacy
(209) 574-6299
Signed By Date
10/12/2022
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