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WAL-MART PHARMACY 10-5843
CH0919630 LIVINGSTON COMMUNITY HEALTH
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Covered Entity Details
Entity Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
LIVINGSTON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0919630
Entity Address
1140 MAIN STREET
LIVINGSTON, CA 95334
Grant Number
H80CS02588
Participating Start Date
1/1/2005
Last Recertification Date
2/5/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5843
Pharmacy Address
1030 SPERRY AVE
PATTERSON, CA 95363
Pharmacy Comments
Contract Details
Approval Date
1/7/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Leslie Abasta-Cummings, CEO
(209) 850-3545
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/7/2018
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