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WAL-MART PHARMACY 10-5133
CH092240 SHASTA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
SHASTA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH092240
Entity Address
1035 Placer St
Redding, CA 96001-1125
Grant Number
H80CS00832
Participating Start Date
4/1/1997
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5133
Pharmacy Address
5000 RHONDA RD.
ANDERSON, CA 96007
Pharmacy Comments
Contract Details
Approval Date
6/27/2012
Contract Begin Date
6/27/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEAN C. GERMANO, CEO
(530) 246-5704
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
6/20/2012
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