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BERTELLI'S INC.
SCH050335-00 ADVENTIST HEALTH SONORA
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Covered Entity Details
Entity Name
ADVENTIST HEALTH SONORA
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH050335-00
Entity Address
1000 GREENLEY ROAD
SONORA, CA 95370
Medicare Provider Number
050335
Participating Start Date
7/1/2024
Last Recertification Date
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
BERTELLI'S INC.
Pharmacy Address
DBA: BERTELLI'S PHARMACY #4
220 WEST STOCKTON
SONORA, CA 95370
Pharmacy Comments
Contract Details
Approval Date
10/18/2012
Contract Begin Date
10/18/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
Andrew D. Jahn, VP/CFO
(209) 536-5019
Contract Pharmacy Representative
Robert Bertelli, Owner
(209) 532-3605
Signed By Date
9/4/2012
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