Contract Pharmacy Details

DINUBA PHARMACY
CH09056B UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Covered Entity Details

Entity Name

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Subdivision Name

UNITED HEALTH CENTERS ORANGE COVE

Type

HRSA-Funded Health Center

340B ID

CH09056B

Entity Address

445 11th St
Orange Cove, CA 93646-2211

Grant Number

H80CS00137

Participating Start Date

12/1/1992

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

DINUBA PHARMACY

Pharmacy Address

DINUBA PHARMACY
172 N L ST.
DINUBA, CA 93618

Pharmacy Comments

Contract Details

Approval Date

7/15/2024

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

Dinuba Pharmacy
Emad Morcos, President
(559) 725-4525

Signed By Date

7/15/2024

340B Drug Pricing Program Database