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PIONEER MARKET PHARMACY
CAH051304-00 JOHN C. FREMONT HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
JOHN C. FREMONT HEALTHCARE DISTRICT
Subdivision Name
A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA
Type
Critical Access Hospital
340B ID
CAH051304-00
Entity Address
5189 HOSPITAL RD
MARIPOSA, CA 95338-0216
Medicare Provider Number
051304
Participating Start Date
1/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
PIONEER MARKET PHARMACY
Pharmacy Address
5034 COAKLEY CIR STE 200
P.O. BOX 2128
MARIPOSA, CA 95338-8519
Pharmacy Comments
Contract Details
Approval Date
6/22/2012
Contract Begin Date
6/22/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID L. HILL, CHIEF EXECUTIVE OFFICER
(209) 966-3631 Ext: 272
Contract Pharmacy Representative
Carl Wood, Pharmacist
(209) 742-5550
Signed By Date
6/18/2012
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