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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CHC28981-00 WESTERN SIERRA MEDICAL CLINIC INC
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Covered Entity Details
Entity Name
WESTERN SIERRA MEDICAL CLINIC INC
Subdivision Name
Sierra Family Medical Clinic, Oregon House
Type
HRSA-Funded Health Center
340B ID
CHC28981-00
Entity Address
8676 Marysville Rd.
Oregon House, CA 95962-9718
Grant Number
H80CS08234
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jessica Lance, CFO
(530) 292-3478
Contract Pharmacy Representative
CVS
Erica Short, Account Manager
(480) 364-1195
Signed By Date
10/16/2023
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