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DAVISON DRUG & STATIONERY
FQHC638524 Colusa Indian Health Clinic
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Covered Entity Details
Entity Name
Colusa Indian Health Clinic
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638524
Entity Address
3710 Highway 45
Colusa, CA 95932
Grant Number
Participating Start Date
1/1/2025
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
DAVISON DRUG & STATIONERY
Pharmacy Address
640 MARKET ST
COLUSA, CA 95932-2441
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Mark Sprague, Clinic Business Manager
(530) 458-6546
Contract Pharmacy Representative
Frank Davison, Owner
(530) 458-2188
Signed By Date
1/15/2014
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