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P-21-206 Omni Family Health.pdf
CONTRACT INFORMATION SHEET DATE: 6/14/2021 Contract No.: P-21-206 Vendor Number: 00000285703 Contract Title: Medication Therapy Name/Address: Omni Family Health Management 4900 California Ave, Ste 400 Bakersfield, CA 93309 Contract Period: 6/14/21 – 9/30/21 Contact: Dr Joseph Hayes Using Agencies: DPH Peter Tawfik Email: jhayes@omnifamilyhealth.org Terms: Net 45 ptawfik@omnifamilyhealth.org Total Contract Amt.: $25,000.00 Buyer Name: Heather Stevens Requisition No: 5622100977 Org: 56201554 Supersedes: X NEW RENEWAL AMENDMENT TICK DATE REFERENCE (RFQ# / RFP#) DESCRIPTION: Medication Therapy Management – Pilot Project. Short Term contract SPECIAL INSTRUCTIONS: DISTRIBUTION: Completed By: Date: Completed By: Date DEPARTMENT: DPH REQUISITIONER: Susanna Alvarez Rev 1/3/2017 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206 P-21-206