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RODERICK PHARMACY GROUP INC DBA
CH090470 GOLDEN VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC - MERCED SUITES
Type
HRSA-Funded Health Center
340B ID
CH090470
Entity Address
847 W. CHILDS AVE
MERCED, CA 95341-6862
Grant Number
H80CS00742
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RODERICK PHARMACY GROUP INC DBA
Pharmacy Address
DBA:GOLDEN VALLEY PHARMACY
857 W. CHILDS AVE
SUITE 101
MERCED, CA 95341-6805
Pharmacy Comments
12/20/2012 Address update (was 727 WEST CHILDS AVE)
Contract Details
Approval Date
8/1/2002
Contract Begin Date
8/1/2002
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/10/2016
Ownership change
Contacts
Covered Entity Signing Official
Christine Noguera, Interim CEO
(209) 385-5548
Contract Pharmacy Representative
DAVE RODERICK, OWNER; PHARMACIST
(209) 465-1001 Ext: 5
Signed By Date
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