340B Drug Pricing Program Database


CHC33795-10 COUNTY OF MONTEREY (Active) - information as of 5/5/2025 11:49:58 PM

Main Details
COUNTY OF MONTEREY
County of Monterey Mobile Clinic 1
HRSA-Funded Health Center
BPS-H80-037348
CHC33795-10
H80CS33795


Additional Details
Active
8/28/2024
10/1/2024
8/29/2024
3/4/2025

Contacts

Monterey County Health Department
Prashant Shinde, Bureau Chief
(831) 796-1370

Monterey County Health Department
Prisca Segovia, Management Analyst
(831) 755-4939

Addresses

855 E Laurel Dr
Salinas, CA 93905-1300

County of Monterey - Clinic Services Finance/Billing
1441 Schilling Place, South Building, FL 1
Salinas, CA 93901


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC33795-00ActiveBPS-H80-029569Monterey, County OfCounty of Monterey - Laurel Pediatric Clinic1441 Constitution Blvd, Bldg. #200, Floor STE 101 SalinasCA
CHC33795-01ActiveBPS-H80-029567Monterey, County OfMonterey County Clinic at Marina3155 De Forest Rd MarinaCA
CHC33795-02ActiveBPS-H80-029565Monterey, County OfCounty of Monterey - Laurel Vista1441 Constitution Blvd. Bldg. 400 STE 301 SalinasCA
CHC33795-03ActiveBPS-H80-029563Monterey, County OfCounty of Monterey - Laurel Internal Medicine Clinic1441 Constitution Blvd. Bldg 151 STE 16 SalinasCA
CHC33795-04ActiveBPS-H80-029575Monterey, County OfCounty of Monterey Integrated Health Clinic299 12th St MarinaCA
CHC33795-05ActiveBPS-H80-029568Monterey, County OfCounty of Monterey - Laurel Family Practice1441 Constitution Blvd, Bldg. 400 STE 300 SalinasCA
CHC33795-06ActiveBPS-H80-029566Monterey, County OfAlisal Health Center559 E Alisal St STE 201 SalinasCA
CHC33795-07ActiveBPS-H80-029574Monterey, County OfCounty of Monterey - Seaside Family Health Center1156 Fremont Blvd SeasideCA
CHC33795-08ActiveBPS-H80-029571Monterey, County OfBienestar1441 Constitution Blvd BLDG 400 STE 201 SalinasCA
CHC33795-09ActiveBPS-H80-029572Monterey, County OfCounty of Monterey - NIDO1441 Constitution Blvd. BLDG 760 SalinasCA
CHC33795-10ActiveBPS-H80-037348COUNTY OF MONTEREYCounty of Monterey Mobile Clinic 1855 E Laurel Dr SalinasCA
CHC33795-11ApprovedBPS-H80-039818COUNTY OF MONTEREYAlisal Integrated Health Center331 N Sanborn Rd SalinasCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC33795-06AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-02AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-09AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-04AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-07AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-00AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-03AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-05AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-08AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-01AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282104/01/2023  
CHC33795-08AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-00AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-01AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-05AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-06AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-03AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-09AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-07AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-02AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-04AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/01/2023  
CHC33795-02GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-04GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-06GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-05GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-07GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-06GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-04GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-03GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-02GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-08GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-08GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-01GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-01GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-07GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-03GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-05GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395501/01/2020  
CHC33795-09GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16447 2040 CALIFORNIA AVE
SAND CITYCA9395504/01/2020  
CHC33795-09GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16200 1640 N MAIN ST
SALINASCA9390604/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-06LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394001/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-02LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-04LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390101/01/2020  
CHC33795-01LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-05LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393301/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-07LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390101/01/2020  
CHC33795-03LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390601/01/2020  
CHC33795-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394001/01/2020  
CHC33795-08LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390601/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03050 268 RESERVATION RD
MARINACA9393304/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09186 110 E LAUREL DR
SALINASCA9390604/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 01300 662 E BORONDA RD
SALINASCA9390604/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09349 347 E ALISAL ST
SALINASCA9390104/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390104/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09802 2170 FREMONT ST
MONTEREYCA9394004/01/2020  
CHC33795-09LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09320 686 LIGHTHOUSE AVE
MONTEREYCA9394004/01/2020  
CHC33795-02LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-04LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-00LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-07LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-06LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-05LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-09LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-08LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-01LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-03LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245304/01/2023  
CHC33795-00PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-03PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-01PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-02PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-04PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-05PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-09PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-06PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-07PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-08PHARMEDQUEST PHARMACY SERVICESDBA AVITA PHARMACY 1072 26800 CROWN VALLEY PKWY STE 185
MISSION VIEJOCA9269104/01/2023  
CHC33795-08THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-01THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-02THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-04THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-06THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-09THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-08THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-05THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-03THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-02THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-00THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-00THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022 02/01/2023
CHC33795-07THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-07THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-09THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-04THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-01THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-06THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-03THRIFTY PAYLESS, INC.DBA RITE AID #6769 499 ALVARADO ST
MONTEREYCA9394001/01/2022  
CHC33795-05THRIFTY PAYLESS, INC.RITE AID #6310 602 WILLIAMS ROAD
SALINASCA9390501/01/2022  
CHC33795-05WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-04WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-08WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-02WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-03WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-06WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-01WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-09WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-07WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2022  
CHC33795-02WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-07WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-00WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-06WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-05WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-09WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-03WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-04WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-08WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-01WAL-MART PHARMACY 10-24581800 N MAIN STREET
SALINASCA9390601/01/2022  
CHC33795-06WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-07WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-03WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-08WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-04WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-05WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-01WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-09WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-00WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-02WAL-MART PHARMACY 10-57511375 N. DAVIS ROAD
SALINASCA9390701/01/2022  
CHC33795-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-01WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-08WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-05WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-09WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-06WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-02WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-07WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-03WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-04WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2022  
CHC33795-02WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-01WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-04WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-04WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-08WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-00WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-02WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-03WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-05WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-08WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-04WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-03WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-07WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-06WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-01WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-00WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-07WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-08WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-00WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-05WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-06WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-07WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-02WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-06WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-00WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-07WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-04WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-02WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-00WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-06WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-03WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-08WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-02WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-04WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-06WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-03WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-05WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-05WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390601/01/2020  
CHC33795-01WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-07WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393301/01/2020  
CHC33795-01WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394001/01/2020  
CHC33795-01WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390501/01/2020  
CHC33795-05WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-03WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-08WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395501/01/2020  
CHC33795-09WALGREEN CO.DBA: WALGREENS # 02867 1055 FREMONT BLVD
SEASIDECA9395504/01/2020  
CHC33795-09WALGREEN CO.DBA: WALGREENS # 04997 226 RESERVATION RD.
MARINACA9393304/01/2020  
CHC33795-09WALGREEN CO.DBA: WALGREENS # 02606 1532 N MAIN ST
SALINASCA9390604/01/2020  
CHC33795-09WALGREEN CO.DBA: WALGREENS # 03446 575 N SANBORN RD
SALINASCA9390504/01/2020  
CHC33795-09WALGREEN CO.DBA: WALGREENS # 07081 416 ALVARADO ST
MONTEREYCA9394004/01/2020  
CHC33795-05WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-01WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-04WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-03WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-00WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-07WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-08WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-06WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-02WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-09WALMART PHARMACY #10-4488150 BEACH RD
MARINACA9393301/01/2022  
CHC33795-02WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-01WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-03WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-04WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-05WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-08WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-06WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-07WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-09WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/01/2023  
CHC33795-06Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-07Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-01Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-09Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-02Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-04Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-08Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-03Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC33795-05Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification 3/4/2025 5:28:12 PM3/4/2025 5:28 PM
DetailsStateUpdate ApprovedActive10/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Shinde, Prashant Bureau Chief Monterey County Health Department 83179613708/29/2024 9:11 AM
Details340B IDUpdateNew Registration CHC33795-108/29/2024 9:11 AM
DatesParticipating Approval DateUpdateNew Registration 8/29/2024 9:11:19 AM8/29/2024 9:11 AM
DetailsStateUpdateNew RegistrationPendingApproved8/29/2024 9:11 AM
DatesSigned By DateUpdateNew Registration 8/28/2024 7:31:18 PM8/29/2024 9:11 AM
DatesStart DateUpdateNew Registration 10/1/2024 12:00:00 AM8/29/2024 9:11 AM
AddressesMain AddressInsertNew Registration  855 E Laurel Dr Salinas, CA 93905-13008/28/2024 7:17 PM
AddressesBilling AddressInsertNew Registration County of Monterey - Clinic Services Finance/Billing 1441 Schilling Place, South Building, FL 1 Salinas, CA 939018/28/2024 7:17 PM
Medicaid BillingNPI: NumberInsertNew Registration 14571178228/28/2024 7:17 PM
Medicaid BillingNPI: StateInsertNew Registration CA8/28/2024 7:17 PM
ContactsAuthorizing OfficialInsertNew Registration Shinde, Prashant Bureau Chief Monterey County Health Department 83179613708/28/2024 7:17 PM
ContactsPrimary ContactInsertNew Registration Segovia, Prisca Management Analyst Monterey County Health Department 83175549398/28/2024 7:17 PM
DetailsAssistance Received From DateInsertNew Registration  8/28/2024 7:17 PM
DetailsAssistance Received To DateInsertNew Registration  8/28/2024 7:17 PM
DetailsLast Recertification DateInsertNew Registration  8/28/2024 7:17 PM
DetailsGrant NumberInsertNew Registration H80CS337958/28/2024 7:17 PM
Details340B IDInsertNew Registration  8/28/2024 7:17 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  8/28/2024 7:17 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  8/28/2024 7:17 PM
DetailsMedicare Provider NumberInsertNew Registration  8/28/2024 7:17 PM
DetailsEntity NameInsertNew Registration COUNTY OF MONTEREY8/28/2024 7:17 PM
DetailsNOFO NumberInsertNew Registration  8/28/2024 7:17 PM
DetailsProgram CodeInsertNew Registration CH8/28/2024 7:17 PM
DetailsEntity SubnameInsertNew Registration County of Monterey Mobile Clinic 18/28/2024 7:17 PM
DatesParticipating Approval DateInsertNew Registration  8/28/2024 7:17 PM
DetailsStateInsertNew Registration Pending8/28/2024 7:17 PM
DatesRegistration DateInsertNew Registration 8/28/2024 7:17:35 PM8/28/2024 7:17 PM
DatesSigned By DateInsertNew Registration  8/28/2024 7:17 PM
DatesStart DateInsertNew Registration  8/28/2024 7:17 PM
TerminationsTermination CommentsInsertNew Registration  8/28/2024 7:17 PM
TerminationsTermination DateInsertNew Registration  8/28/2024 7:17 PM
TerminationsTermination Effective DateInsertNew Registration  8/28/2024 7:17 PM
TerminationsTermination ReasonInsertNew Registration  8/28/2024 7:17 PM