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THE VONS COMPANIES INC
FQHC638366 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
SAN MANUEL INDIAN HEALTH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638366
Entity Address
11980 Mt. Vernon Ave
Grand Terrace, CA 92313
Grant Number
Participating Start Date
7/1/1996
Last Recertification Date
2/28/2025
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
4/1/2019
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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