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SUTTER PHARMACY
CH097180 PEACH TREE CLINIC, THE, INC.
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Covered Entity Details
Entity Name
PEACH TREE CLINIC, THE, INC.
Subdivision Name
Peach Tree Clinic, Inc
Type
HRSA-Funded Health Center
340B ID
CH097180
Entity Address
5730 Packard Ave., STE 500
Marysville, CA 95901-7119
Grant Number
H80CS06629
Participating Start Date
1/1/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SUTTER PHARMACY
Pharmacy Address
470 PLUMAS BOULEVARD
SUITE 103
YUBA CITY, CA 95991
Pharmacy Comments
Contract Details
Approval Date
4/1/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2019
Ownership change
Contacts
Covered Entity Signing Official
Greg Stone, CEO
(530) 741-6245 Ext: 107
Contract Pharmacy Representative
Sutter Pharmacy
Anu Goyal, Owner
(530) 821-5110 Ext: 0
Signed By Date
4/1/2013
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