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WAL-MART PHARMACY 10-1772
CH09175B MOUNTAIN VALLEYS HEALTH CENTERS
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Covered Entity Details
Entity Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
BUTTE VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09175B
Entity Address
610 W. 3RD ST.
DORRIS, CA 96023-0170
Grant Number
H80CS00260
Participating Start Date
4/1/2002
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1772
Pharmacy Address
3600 WASHBURN WAY
KLAMATH FALLS, OR 97603
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Gerig, CEO
(530) 999-9010
Contract Pharmacy Representative
PharmaForce
Brandon Jackson, Account Manager
(814) 788-2576
Signed By Date
4/8/2024
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