340B Drug Pricing Program Database
SAN JOAQUIN DRUG
FQHCLA338 HORISONS UNLIMITED - information as of 5/14/2025 12:16:25 AM
Covered Entity Details
Entity Name
HORISONS UNLIMITED
Subdivision Name
Horisons Unlimited Mariposa
Type
Health Center Program Look-Alike
340B ID
FQHCLA338
Entity Address
5320 STATE HIGHWAY 49 N
MARIPOSA, CA 95338-9588
Grant Number
LALCS00172
Participating Start Date
1/1/2016
Last Recertification Date
1/27/2017
Entity Termination Date
10/12/2017
Pharmacy Details
Pharmacy Name
SAN JOAQUIN DRUG
Pharmacy Address
9215 EAST HIGHWAY 140
P.O. BOX 1636
PLANADA, CA 95365
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sandy Haar, CEO
(209) 201-2099
Contract Pharmacy Representative
Yosemite Drug
Katie Bass, PIC
(209) 382-1291
Signed By Date
1/15/2016
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