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AVITA PHARMACY 1016
CH09039J CLINICA SIERRA VISTA
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Covered Entity Details
Entity Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - Lamont Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09039J
Entity Address
8787 Hall Rd
Lamont, CA 93241
Grant Number
H80CS00540
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1016
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
8787 HALL RD RM A
LAMONT, CA 93241-1953
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2025
Ownership change
Contacts
Covered Entity Signing Official
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/15/2024
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