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AVITA PHARMACY 1015
CH09039M CLINICA SIERRA VISTA
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Covered Entity Details
Entity Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - 34th Street Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09039M
Entity Address
2000 Physicians Blvd
Bakersfield, CA 93301
Grant Number
H80CS00540
Participating Start Date
1/1/2004
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1015
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
2000 PHYSICIANS BLVD RM B
BAKERSFIELD, CA 93301-1277
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
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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