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CARRANZA PHARMACY
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
CARRANZA PHARMACY
Pharmacy Address
(MODESTO)
1739 CROWS LANDING ROAD
SUITE A
MODESTO, CA 95358
Pharmacy Comments
10/01/2012 address change (was 1620 Crows Landing Rd Ste K)
Contract Details
Approval Date
6/21/2012
Contract Begin Date
6/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Christine Noguera, Interim CEO
(209) 385-5548
Contract Pharmacy Representative
Jose Carranza, Owner/RPH/CEO
(209) 538-2971
Signed By Date
6/18/2012
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