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WAL-MART PHARMACY 10-2598
URB10414 SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB10414
Entity Address
2020 J STREET
SACRAMENTO, CA 95811
Grant Number
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2598
Pharmacy Address
3661 TRUXEL ROAD
SACRAMENTO (NW), CA 95833
Pharmacy Comments
Contract Details
Approval Date
7/5/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRITTA GUERRERO, CEO
(916) 341-0576 Ext: 2205
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/5/2017
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