340B Drug Pricing Program Database
LAKE PHARMACY - information as of 4/27/2025 2:14:15 AM
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Name
LAKE PHARMACY
Address
18990 COYOTE VALLEY RD STE 2
HIDDEN VALLEY LAKE, CA 95467-8339
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
CAH051317-00
Adventist Health Clearlake Hospital, Inc.
Critical Access Hospital
15630 18th Ave - Hwy 53
Clearlake
CA
04/01/2021
4/1/2021 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
10/9/2020 1:25 PM
Details
Is Deleted
Insert
False
10/9/2020 1:25 PM
Addresses
Pharmacy Address
Insert
LAKE PHARMACY 18990 COYOTE VALLEY RD STE 2 HIDDEN VALLEY LAKE, CA 95467-8339
10/9/2020 1:25 PM
Details
Name
Insert
LAKE PHARMACY
10/9/2020 1:25 PM
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