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WAL-MART PHARMACY 10-1760
CH0923660 EL DORADO COUNTY COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
EL DORADO COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
EL DORADO COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0923660
Entity Address
4212 Missouri Flat Road
Placerville, CA 95667-6269
Grant Number
H80CS06671
Participating Start Date
1/1/2007
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1760
Pharmacy Address
1018 RILEY STREET
FOLSOM, CA 95630
Pharmacy Comments
Contract Details
Approval Date
1/26/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Judy Stein, CFO
(530) 748-2327
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/26/2017
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