340B Drug Pricing Program Database
MOLLISON PHARMACY
CH09312DD FAMILY HEALTH CENTERS OF SAN DIEGO, INC. - information as of 6/8/2025 1:56:06 AM
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Grossmont Family Counseling Center
Type
HRSA-Funded Health Center
340B ID
CH09312DD
Entity Address
8851 Center Dr Ste 312
La Mesa, CA 91942-3050
Grant Number
H80CS00224
Participating Start Date
4/1/2017
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
MOLLISON PHARMACY
Pharmacy Address
505 N MOLLISON AVE STE 101A
EL CAJON, CA 92021-6159
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
MERCY CARE PHARMACY
Bassam Massaad, Pharmacist/Owner
(760) 294-0014
Signed By Date
10/14/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session