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PREMIER PHARMACY SERVICES
CH09224A SHASTA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
ANDERSON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09224A
Entity Address
2965 East St.
Anderson, CA 96007-3481
Grant Number
H80CS00832
Participating Start Date
4/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
410 CLOVERLEAF DR
BALDWIN PARK, CA 91706
Pharmacy Comments
Contract Details
Approval Date
10/4/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEAN C. GERMANO, CEO
(530) 246-5704
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
10/4/2017
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