Contract Pharmacy Details

ZOHA'S 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

ZOHA'S PHARMACY

Pharmacy Address

616 34TH ST
BAKERSFIELD, CA 93301-2208

Pharmacy Comments

Contract Details

Approval Date

1/10/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Zoha's Pharmacy
Zoha Kheiri, Owner
(661) 322-7979

Signed By Date

1/10/2019