Contract Pharmacy Details

NEW LEAF PHARMACY
CH090390 CLINICA SIERRA VISTA

Covered Entity Details

Entity Name

CLINICA SIERRA VISTA

Subdivision Name

CORPORATE HQ - CLINICA SIERRA VISTA

Type

HRSA-Funded Health Center

340B ID

CH090390

Entity Address

1430 Truxtun Ave STE 400
Bakersfield, CA 93301

Grant Number

H80CS00540

Participating Start Date

1/1/2004

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

NEW LEAF PHARMACY

Pharmacy Address

4433 MING AVE
BAKERSFIELD, CA 93309

Pharmacy Comments

Contract Details

Approval Date

10/16/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/30/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

Brian Harris, CEO
(661) 635-3050 Ext: 2152

Contract Pharmacy Representative

New Leaf Pharmacy
Bassem Messiha, Owner
(661) 885-9707

Signed By Date

10/16/2018