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L & S PHARMACY, INC
CHC12872-00 WellSpace Health
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Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
J Street Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12872-00
Entity Address
1820 J Street
Sacramento, CA 95811-3010
Grant Number
H80CS12872
Participating Start Date
7/1/2018
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
L & S PHARMACY, INC
Pharmacy Address
DBA VALLEY PHARMACY OF SACRAMENTO
7600 HOSPITAL DRIVE
SUITE A
SACRAMENTO, CA 95823
Pharmacy Comments
Contract Details
Approval Date
7/4/2013
Contract Begin Date
10/1/2013
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
Leonard Marr, Owner
(916) 423-2098
Signed By Date
7/4/2013
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