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CLONEY'S RED CROSS PHARMACY
FQHC638024 UNITED INDIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
UNITED INDIAN HEALTH SERVICES
Subdivision Name
POTAWAT CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024
Entity Address
1600 WEEOT WAY
ARCATA, CA 95521
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
CLONEY'S RED CROSS PHARMACY
Pharmacy Address
525 5TH STREET
EUREKA, CA 95501-1032
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathleen Terra, Chief Medical Officer
(707) 825-4057
Contract Pharmacy Representative
Teresa Matthias, Office Manager
(707) 443-8451
Signed By Date
7/14/2015
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