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THE VONS COMPANIES INC
FQHC638015 RIVERSIDE - SAN BERNARDINO COUNTY INDIAN HEALTH INC
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Covered Entity Details
Entity Name
RIVERSIDE - SAN BERNARDINO COUNTY INDIAN HEALTH INC
Subdivision Name
Morongo Indian Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638015
Entity Address
11555 1/2 POTRERO RD
Banning, CA 92220
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
THE VONS COMPANIES INC
Pharmacy Address
VONS PHARMACY #2376
1270 EAST MAIN STREET
BARSTOW, CA 92311
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/27/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Bill Thomsen, CEO
(909) 864-1097 Ext: 4703
Contract Pharmacy Representative
riverside san bernardino county indian health
Sue Yoon, PHARMACY DIRECTOR
(909) 864-1097 Ext: 4706
Signed By Date
4/12/2018
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