340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

AVELLA OF DEER VALLEY, INC. #38
CAH051319-00 DIGNITY HEALTH D/B/A MERCY MEDICAL CENTER MT. SHASTA

Covered Entity Details

Critical Access Hospital
CAH051319-00
914 PINE STREET
MOUNT SHASTA, CA 96067
051319
9/8/2010
8/15/2024


Pharmacy Details

DBA AVELLA SPECIALTY PHARMACY
24416 N. 19TH AVE
PHOENIX, AZ 85085

Contract Details

7/16/2018
10/1/2018

10/1/2018
Business decision by covered entity and/or pharmacy


Contacts


Kim Miranda, CFO
(916) 453-4459



Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
7/16/2018