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NEW PHARMACY 2
CHC26610-02 Hi-Desert Memorial Health Care District
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Covered Entity Details
Entity Name
Hi-Desert Memorial Health Care District
Subdivision Name
Morongo Basin Community Health Center-DH
Type
HRSA-Funded Health Center
340B ID
CHC26610-02
Entity Address
57019 Yucca Trail, Ste C
Yucca Valley, CA 92284
Grant Number
H80CS26610
Participating Start Date
4/1/2018
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
NEW PHARMACY 2
Pharmacy Address
72724 29 PALMS HWY
STE 104
TWENTYNINE PALMS, CA 92277
Pharmacy Comments
Contract Details
Approval Date
4/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cindy Schmall, Chief Executive Officer
(760) 820-9229 Ext: 1907
Contract Pharmacy Representative
New Pharmacy
Maher Michail, Owner
(760) 228-1600
Signed By Date
4/16/2024
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