340B Drug Pricing Program Database
CREEKSIDE PHARMACY - information as of 4/25/2025 5:44:48 PM
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Name
CREEKSIDE PHARMACY
Address
95 MONTGOMERY DR.
STE. 108
SANTA ROSA, CA 95404
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CH098790
SANTA ROSA COMMUNITY HEALTH CENTERS
LOMBARDI CAMPUS
HRSA-Funded Health Center
751 LOMBARDI COURT STE B
SANTA ROSA
CA
07/01/2024
7/1/2024 12:01 AM
Details
DSH050174
ST Joseph Health Northern California LLC-DBA Santa Rosa Memorial Hospital
Disproportionate Share Hospital
1165 MONTGOMERY DRIVE
Santa Rosa
CA
04/01/2020
07/05/2021
7/5/2021 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Addresses
Pharmacy Address
Insert
CREEKSIDE PHARMACY 95 MONTGOMERY DR. STE. 108 SANTA ROSA, CA 95404
9/29/2017 6:44 AM
Details
Comments
Insert
5/26/2017 1:07 PM
Details
Is Deleted
Insert
False
5/26/2017 1:07 PM
Addresses
Pharmacy Address
Insert
CREEKSIDE PHARMACY 95 MONTGOMERY DR. STE. 108 SANTA ROSA, CA 95404
5/26/2017 1:07 PM
Details
Name
Insert
CREEKSIDE PHARMACY
5/26/2017 1:07 PM
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