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EXPRESS PHARMACY #3
CH09160AA Omni Family Health
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Covered Entity Details
Entity Name
Omni Family Health
Subdivision Name
Omni Family Health
Type
HRSA-Funded Health Center
340B ID
CH09160AA
Entity Address
355 Campus Drive, #E
Hanford, CA 93230
Grant Number
H80CS00615
Participating Start Date
4/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EXPRESS PHARMACY #3
Pharmacy Address
9802 STOCKDALE HWY STE 106B
BAKERSFIELD, CA 93311-3653
Pharmacy Comments
Contract Details
Approval Date
4/14/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diego Martinez, Chief Operations Officer
(661) 630-7030
Contract Pharmacy Representative
Shafter Medical Pharmacy #1
Iskander Hussein, President
(661) 746-5600
Signed By Date
4/14/2018
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