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CHICO PHARMACY
FQHC638494 ROLLING HILLS CLINIC
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Covered Entity Details
Entity Name
ROLLING HILLS CLINIC
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638494
Entity Address
706 Peach Street
CORNING, CA 96021
Grant Number
Participating Start Date
7/1/2011
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CHICO PHARMACY
Pharmacy Address
251 COHASSET RD
STE 100
CHICO, CA 95926-2235
Pharmacy Comments
Contract Details
Approval Date
6/22/2012
Contract Begin Date
6/22/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/7/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MICHAEL SCHAUB, EXECUTIVE DIRECTOR
(530) 690-2800
Contract Pharmacy Representative
SHAUN SIMS, DIRECTOR OF PHARMACY AFFAIRS
(530) 343-4440
Signed By Date
6/19/2012
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