340B Drug Pricing Program Database


LAKE PHARMACY - information as of 4/25/2025 6:37:16 PM


LAKE PHARMACY

15230 LAKESHORE DR
CLEARLAKE, CA 95422



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH051317-00Adventist Health Clearlake Hospital, Inc. Critical Access Hospital15630 18th Ave - Hwy 53
ClearlakeCA10/01/201304/25/201711/13/2020 7:20 PM
DetailsCH091940MENDOCINO COMMUNITY HEALTH CLINIC, INC.Hillside Health CenterHRSA-Funded Health Center333 Laws Ave
UkiahCA04/01/2017 3/24/2017 11:30 AM
DetailsCH09194AMENDOCINO COMMUNITY HEALTH CLINIC, INC.LITTLE LAKE HEALTH CENTERHRSA-Funded Health Center45 Hazel St
WillitsCA01/01/2024 1/1/2024 12:01 AM
DetailsCH09194BMENDOCINO COMMUNITY HEALTH CLINIC, INC.LAKEVIEW HEALTH CENTERHRSA-Funded Health Center5335 Lakeshore Blvd
LakeportCA01/01/2024 1/1/2024 12:01 AM
DetailsCH09194CMENDOCINO COMMUNITY HEALTH CLINIC, INC.Dora Street Health Center, Suite B1HRSA-Funded Health Center1165 S Dora St Ste B1
UkiahCA01/01/2024 1/1/2024 12:01 AM
DetailsCH09194DMENDOCINO COMMUNITY HEALTH CLINIC, INC.Dora Street Health CenterHRSA-Funded Health Center1165 S Dora St Ste A1
UkiahCA01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsUpdate   3/28/2013 4:33 PM
AddressesPharmacy AddressUpdate Lake Pharmacy 15230 Lakeshore Dr Clearlake, CA 95422LAKE PHARMACY 15230 LAKESHORE DR CLEARLAKE, CA 954223/28/2013 4:33 PM
DetailsNameUpdate Lake PharmacyLAKE PHARMACY3/28/2013 4:33 PM
DetailsCommentsInsert   7/24/2012 9:42 PM
DetailsIs DeletedInsert  False7/24/2012 9:42 PM
AddressesPharmacy AddressInsert  Lake Pharmacy 15230 Lakeshore Dr Clearlake, CA 954227/24/2012 9:42 PM
DetailsNameInsert  Lake Pharmacy7/24/2012 9:42 PM