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PILLPACK LLC
CH09047AK Golden Valley Health Centers
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Covered Entity Details
Entity Name
Golden Valley Health Centers
Subdivision Name
GVHC - TURLOCK PEDIATRIC HEALTH CENTER 1199 Suite 5
Type
HRSA-Funded Health Center
340B ID
CH09047AK
Entity Address
1199 Delbon Ave Ste 5
Turlock, CA 95382-2006
Grant Number
H80CS00742
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PILLPACK LLC
Pharmacy Address
DBA PILLPACK BY AMAZON PHARMACY
250 COMMERCIAL ST STE 2012
MANCHESTER, NH 03101
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
Pillpack, Inc.
Geoff Swindle, Chief Busines Officer
(603) 935-9094
Signed By Date
10/16/2023
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