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WAL-MART PHARMACY 10-3652
CHC08216-00 COMMUNICARE HEALTH CENTERS
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Covered Entity Details
Entity Name
COMMUNICARE HEALTH CENTERS
Subdivision Name
DAVIS COMMUNITY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08216-00
Entity Address
2051 JOHN JONES ROAD
DAVIS, CA 95616-9701
Grant Number
H80CS08216
Participating Start Date
1/1/2005
Last Recertification Date
2/14/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3652
Pharmacy Address
755 RIVER POINT CT
WEST SACRAMENTO, CA 95691
Pharmacy Comments
Contract Details
Approval Date
1/8/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
ROBIN AFFRIME, CHIEF EXECUTIVE OFFICER
(530) 753-3498 Ext: 1205
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
1/8/2016
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