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LARK REXALL DRUGS INC
CH09035D WEST COUNTY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
WEST COUNTY HEALTH CENTERS, INC.
Subdivision Name
RUSSIAN RIVER HLTH CENTER #2
Type
HRSA-Funded Health Center
340B ID
CH09035D
Entity Address
16312 THIRD STREET
GUERNEVILLE, CA 95446
Grant Number
H80CS00242
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
LARK REXALL DRUGS INC
Pharmacy Address
DBA LARK DRUGS PHARMACY
16251 MAIN ST
GUERNEVILLE, CA 95446-8300
Pharmacy Comments
Contract Details
Approval Date
1/29/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Santa Rose Community Centers
Amalia Nicola, President
(707) 869-9055
Signed By Date
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