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IMGRX SJ VALLEY, INC. DBA
CH09056X United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
United Health Centers - Dinuba
Type
HRSA-Funded Health Center
340B ID
CH09056X
Entity Address
300 Westgate Way
Dinuba, CA 93618-9693
Grant Number
H80CS00137
Participating Start Date
8/24/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
IMGRX SJ VALLEY, INC. DBA
Pharmacy Address
UNITED HEALTH CENTERS PHARMACY ORANGE CO
445 11TH STREET
ORANGE COVE, CA 93646
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
Cardinal Health
Naveen Mansukhani, National Operations Director
(732) 328-0515
Signed By Date
7/15/2024
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