340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MENDOCINO VILLAGE PHARMACY
CH0910250 MENDOCINO COAST CLINICS, INC.
Print
Covered Entity Details
Entity Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
MENDOCINO COAST CLINICS, INC.
Type
HRSA-Funded Health Center
340B ID
CH0910250
Entity Address
205 South St
Fort Bragg, CA 95437-5540
Grant Number
H80CS00876
Participating Start Date
1/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MENDOCINO VILLAGE PHARMACY
Pharmacy Address
10501 LANSING STREET
PO BOX 904
MENDOCINO, CA 95460
Pharmacy Comments
Contract Details
Approval Date
3/21/2011
Contract Begin Date
3/21/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/18/2011
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