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TIMBERLAKE PHARMACY
CHC12872-01 WellSpace Health
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Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
South Valley Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12872-01
Entity Address
8233 East Stockton Blvd
Suite D
Sacramento, CA 95828-8203
Grant Number
H80CS12872
Participating Start Date
7/1/2018
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
TIMBERLAKE PHARMACY
Pharmacy Address
TIMBERLAKE PHARMACY, INC.
8120 TIMBERLAKE WAY STE 108
SACRAMENTO, CA 95823-5413
Pharmacy Comments
Contract Details
Approval Date
3/19/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jonathan A. Porteus, CEO
(916) 313-8413
Contract Pharmacy Representative
Stephanie Le, Owner
(916) 760-2470
Signed By Date
1/15/2013
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