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PALCO PHARMACY
CH091540 OPEN DOOR COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Subdivision Name
Arcata Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH091540
Entity Address
1150 Foster Avenue
Arcata, CA 95521-6210
Grant Number
H80CS00225
Participating Start Date
7/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PALCO PHARMACY
Pharmacy Address
PO BOX 157
113 MAIN STREET SUITE D
SCOTIA, CA 95565-0157
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/3/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Herrmann Spetzler, CEO
(707) 826-8633 Ext: 5124
Contract Pharmacy Representative
Palco Pharmacy
Daniel Bywater, Pharmacy Manager
(707) 764-3591
Signed By Date
10/12/2015
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