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ELMORE PHARMACY
FQHC638494C ROLLING HILLS CLINIC
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Covered Entity Details
Entity Name
ROLLING HILLS CLINIC
Subdivision Name
CO1
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638494C
Entity Address
740 Solano Street
Corning, CA 96021
Grant Number
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ELMORE PHARMACY
Pharmacy Address
TEHAMA PHARMACY AND TRADING COMPANY, INC
401 WALNUT ST
RED BLUFF, CA 96080
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elizabeth Deuchars, Controller
(530) 690-2790
Contract Pharmacy Representative
Elmore Pharmacy
Bianca Bradshaw, President
(530) 527-4636
Signed By Date
7/9/2024
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