340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA328F SAN JOAQUIN, COUNTY OF (Terminated)
Print
Main Details
Name
SAN JOAQUIN, COUNTY OF
Subdivision Name
Hazelton Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-019320
340B ID
FQHCLA328F
Grant Number
LALCS00158
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
San Joaquin County Clinics
Farhan Fadoo, Chief Executive Officer
(209) 953-3700
Primary Contact
San Joaquin County Clinics
Betty Jo Riendel, Clinic Nursing Manager
(209) 468-6177
Addresses
Street Address
1601 E. Hazelton Ave
Stockton, CA 95205
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session