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DINUBA PHARMACY
CH09364AW Family Healthcare Network
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Covered Entity Details
Entity Name
Family Healthcare Network
Subdivision Name
Family HealthCare Network - City Center
Type
HRSA-Funded Health Center
340B ID
CH09364AW
Entity Address
3837 N Clark St
Fresno, CA 93726-4806
Grant Number
H80CS00786
Participating Start Date
10/1/2022
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
DINUBA PHARMACY
Pharmacy Address
DINUBA PHARMACY
172 N L ST.
DINUBA, CA 93618
Pharmacy Comments
Contract Details
Approval Date
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kerry Hydash, President and CEO
(559) 737-4700
Contract Pharmacy Representative
Dinuba Pharmacy
Emad Morcos, President
(559) 725-4525
Signed By Date
7/13/2024
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