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EVERGREEN PHARMACEUTICAL OF CALIFORNIA,
CHC28980-03 Harmony Health Medical Clinic And Family Resource Center
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Covered Entity Details
Entity Name
Harmony Health Medical Clinic And Family Resource Center
Subdivision Name
Harmony Health Medical Clinic and Family Resource Center
Type
HRSA-Funded Health Center
340B ID
CHC28980-03
Entity Address
1215 Plumas Street, Suite 1400
Yuba City, CA 95991-3493
Grant Number
H80CS28980
Participating Start Date
4/1/2019
Last Recertification Date
1/29/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
EVERGREEN PHARMACEUTICAL OF CALIFORNIA,
Pharmacy Address
OMNICARE OF SACRAMENTO
3630 BUSINESS DR.
SUITE D
SACRAMENTO, CA 95820
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jennifer Hunter, CFO
(530) 743-6888 Ext: 5307436888
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2024
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