340B Drug Pricing Program Database


KELLY'S DRUG STORE - information as of 6/3/2025 12:43:51 PM


KELLY'S DRUG STORE

64 E. SAINT CHARLES STREET
SAN ANDREAS, CA 95249-0606



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsFQHC638480MACT Health Board, Inc.MACT Medical, SonoraTribal Contract/Compact with IHS (P.L. 93-638)13975 MONO WAY SUITE G,H, I, J
SONORACA04/01/2016 3/30/2024 9:36 AM
DetailsFQHC638490MACT Health Board, Inc.MACT Medical, San AndreasTribal Contract/Compact with IHS (P.L. 93-638)1113 Highway 49
SAN ANDREASCA01/08/201011/29/20182/7/2019 3:15 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  KELLY'S DRUG STORE 64 E. SAINT CHARLES STREET SAN ANDREAS, CA 95249-06069/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:33 PM
AddressesPharmacy AddressUpdate KELLY'S DRUG STORE 64 E. SAINT CHARLES ST. SAN ANDREAS, CA 95249KELLY'S DRUG STORE 64 E. SAINT CHARLES STREET SAN ANDREAS, CA 952493/28/2013 4:33 PM
DetailsCommentsInsert   1/8/2010 5:11 PM
DetailsIs DeletedInsert  False1/8/2010 5:11 PM
AddressesPharmacy AddressInsert  KELLY'S DRUG STORE 64 E. SAINT CHARLES ST. SAN ANDREAS, CA 952491/8/2010 5:11 PM
DetailsNameInsert  KELLY'S DRUG STORE1/8/2010 5:11 PM