340B Drug Pricing Program Database
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CH09123W LA CLINICA DE LA RAZA, INC. (Active)
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Main Details
Name
LA CLINICA DE LA RAZA, INC.
Subdivision Name
CLINICA ALTA VISTA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000970
340B ID
CH09123W
Grant Number
H80CS00631
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/31/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
La Clinica de La Raza
Jane Garcia, CEO
(510) 535-4000
Primary Contact
La Clinica de La Raza
Dolly Davar, Pharmacy Director
(510) 535-3382
Addresses
Street Address
1515 FRUITVALE AVE
OAKLAND, CA 94601-2322
Billing Address
LA CLINICA DE LA RAZA, INC.
P.O. Box 22210
Oakland, CA 94623
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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