340B Drug Pricing Program Database
ALBERTSONS LLC
CH09312CD FAMILY HEALTH CENTERS OF SAN DIEGO, INC. - information as of 6/24/2025 12:09:29 AM
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Grossmont Spring Valley Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312CD
Entity Address
8788 Jamacha Rd
Spring Valley, CA 91977-4035
Grant Number
H80CS00224
Participating Start Date
1/1/2011
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY #0704
2955 ALPINE BLVD
ALPINE, CA 91901
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
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/14/2019
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