340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC22689-06 MARIN CITY HEALTH AND WELLNESS CENTER (Terminated)
Print
Main Details
Name
MARIN CITY HEALTH AND WELLNESS CENTER
Subdivision Name
Perinatal & Women's Health Suite
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020881
340B ID
CHC22689-06
Grant Number
H80CS22689
Additional Details
Current Program Status
Terminated
Registration Date
5/30/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/31/2018
Last Recertification Date
2/10/2022
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Marin City Health and Wellness Center
Harold Wallace, CEO
(415) 339-8813 Ext: 162
Primary Contact
Marin City Health and Wellness Center
Randi Ganousis, Federal Grants Manager
(314) 757-6788
Addresses
Street Address
880 Las Gallinas Suite #2
San Rafael, CA 94903-3437
Billing Address
Marin City Health and Wellness Center
630 Drake Avenue
Marin City, CA 94965
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.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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