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.

PRIME THERAPEUTICS SPECIALTY PHARMACY LL
CH093640 FAMILY HEALTHCARE NETWORK

Covered Entity Details

FHCN - PORTERVILLE CENTER
HRSA-Funded Health Center
CH093640
1107 W Poplar Ave
Porterville, CA 93257-5839
H80CS00786
4/1/1997
2/16/2024


Pharmacy Details

ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992

Contract Details

10/15/2018
1/1/2019

10/1/2022
Pharmacy closed


Contacts


Kerry Hydash, President and CEO
(559) 737-4700



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
10/15/2018