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PIONEER DRUG #2
FQHCLA420B Community Health Centers of America
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Covered Entity Details
Entity Name
Community Health Centers of America
Subdivision Name
Community Health centers of America Carmichael
Type
Health Center Program Look-Alike
340B ID
FQHCLA420B
Entity Address
5723 Marconi Ave
Carmichael, CA 95608-4475
Grant Number
LALCS40180
Participating Start Date
6/16/2022
Last Recertification Date
2/22/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
PIONEER DRUG #2
Pharmacy Address
397 5TH ST
GUSTINE, CA 95322-1236
Pharmacy Comments
Contract Details
Approval Date
3/1/2023
Contract Begin Date
3/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Naresh Channaveerappa, CEO
(209) 678-0990
Contract Pharmacy Representative
Pioneer Pharmacy
Ralph Klopping, Owner & Pharmacist
(209) 854-1007
Signed By Date
3/1/2023
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