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JCH LTC PHARMACY LLC
RWI95811 Sunburst Projects
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Covered Entity Details
Entity Name
Sunburst Projects
Subdivision Name
Type
Ryan White Part A
340B ID
RWI95811
Entity Address
2143 Hurley Way , Suite 240
Sacramento, CA 95825
Grant Number
H89HA00048
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JCH LTC PHARMACY LLC
Pharmacy Address
DBA PUCCI'S LTC PHARMACY
1428 33RD ST
SACRAMENTO, CA 95816
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jacob Bradley-Rowe, Executive Director
(916) 709-7692
Contract Pharmacy Representative
Puccis Pharmacy
Clint Hopkins, President
(916) 442-5891
Signed By Date
4/17/2023
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