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TIN RX
FQHC638494A Rolling Hills Clinic
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Covered Entity Details
Entity Name
Rolling Hills Clinic
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638494A
Entity Address
2526 Sister Mary Columba Drive
Red Bluff, CA 96080
Grant Number
Participating Start Date
1/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
TIN RX
Pharmacy Address
1322 SOLANO ST.
CORNING, CA 96021
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
12/31/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lona Marioneaux-Ibanitoru, Executive Director
(530) 690-2800
Contract Pharmacy Representative
Tin Rx
Christina Garcia, CEO
(530) 824-0800
Signed By Date
4/12/2018
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