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RALEY'S PHARMACY #448
FQHC638008 KARUK TRIBE
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Covered Entity Details
Entity Name
KARUK TRIBE
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638008
Entity Address
64109 Hill side Road
HAPPY CAMP, CA 96039
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RALEY'S PHARMACY #448
Pharmacy Address
1601 WEST CAPITOL AVENUE
WEST SACRAMENTO, CA 95691
Pharmacy Comments
Contract Details
Approval Date
10/2/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2015
Agreement registered in error
Contacts
Covered Entity Signing Official
Lessie Aubrey, Manager of Grants, Compliance
(530) 493-1600 Ext: 2042
Contract Pharmacy Representative
William L. Worthy, Vice President, Pharmacy & Wellness
(916) 373-6146
Signed By Date
10/2/2015
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