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MYERS MEDICAL PHARMACY
FQHC638409 CONSOLIDATED TRIBAL HEALTH PROJECT
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Covered Entity Details
Entity Name
CONSOLIDATED TRIBAL HEALTH PROJECT
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638409
Entity Address
6991 N. STATE STREET
REDWOOD VALLEY, CA 95470
Grant Number
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MYERS MEDICAL PHARMACY
Pharmacy Address
260 HOSPITAL DR STE 111
UKIAH, CA 95482-4568
Pharmacy Comments
Contract Details
Approval Date
6/30/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Matens, Executive Director
(707) 467-5616
Contract Pharmacy Representative
Tim Keffeler, Owner
(707) 468-8991
Signed By Date
6/30/2017
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