340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COAST HILLS PHARMACY
STD927061 AIDS Services Foundation Orange County dba Radiant Health Centers
Print
Covered Entity Details
Entity Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Radiant Health Centers
Type
Sexually Transmitted Diseases
340B ID
STD927061
Entity Address
2708 Westmnister Avenue
Suite 110
Santa Ana, CA 92706
Grant Number
NU65PS004745
Participating Start Date
4/1/2019
Last Recertification Date
5/29/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
COAST HILLS PHARMACY
Pharmacy Address
2610 SAN MIGUEL DR
NEWPORT BEACH, CA 92660
Pharmacy Comments
Contract Details
Approval Date
2/13/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Guita Sharifi, CFO
(949) 809-5753
Contract Pharmacy Representative
Laguna Drug
Dave Olsen, Owner
(949) 307-8335
Signed By Date
1/11/2019
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