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CAREKINESIS
CH09047AT Golden Valley Health Centers
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Covered Entity Details
Entity Name
Golden Valley Health Centers
Subdivision Name
Central Valley PACE
Type
HRSA-Funded Health Center
340B ID
CH09047AT
Entity Address
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Grant Number
H80CS00742
Participating Start Date
10/26/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CAREKINESIS
Pharmacy Address
228 STRAWBRIDGE DR STE 200
MOORESTOWN, NJ 08057-4600
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
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
CAREKINESIS INC
Michael Ristagno, CHIEF CLIENT OFFICER
(480) 294-0189
Signed By Date
10/16/2023
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