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RIVERBANK PHARMACY
DSH050067 OAK VALLEY DISTRICT HOSPITAL
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Covered Entity Details
Entity Name
OAK VALLEY DISTRICT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050067
Entity Address
350 SOUTH OAK STREET
OAKDALE, CA 95361
Medicare Provider Number
050067
Participating Start Date
4/1/2016
Last Recertification Date
8/21/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
RIVERBANK PHARMACY
Pharmacy Address
RIVERBANK PHARMACY INC.
2603 PATTERSON ROAD
SUITE 9
RIVERBANK, CA 95367
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/26/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John McCormick, President and CEO
(209) 848-4102
Contract Pharmacy Representative
Wesley Yong, President
(209) 863-9988
Signed By Date
7/17/2017
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