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DOKIMOS' EAST MAIN PHARMACY
CH092176B WESTERN SIERRA MEDICAL CLINIC INC
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Covered Entity Details
Entity Name
WESTERN SIERRA MEDICAL CLINIC INC
Subdivision Name
Western Sierra Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH092176B
Entity Address
844 Old Tunnel Rd
Grass Valley, CA 95945-5952
Grant Number
H80CS08234
Participating Start Date
4/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
DOKIMOS' EAST MAIN PHARMACY
Pharmacy Address
640 E MAIN ST STE 2
GRASS VALLEY, CA 95945-5854
Pharmacy Comments
Contract Details
Approval Date
4/5/2010
Contract Begin Date
4/5/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARK J. LANG, CHIEF OPERATIONS OFFICER
(530) 289-3298 Ext: 25
Contract Pharmacy Representative
David Dokimos, Owner
(530) 470-8854
Signed By Date
3/22/2010
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