340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ST MARY HEALTH VENTURES
HV90814 CHW-CARE PROGRAM AND CLINICS
Print
Covered Entity Details
Entity Name
CHW-CARE PROGRAM AND CLINICS
Subdivision Name
ST. MARY MEDICAL CENTER
Type
Ryan White Part C
340B ID
HV90814
Entity Address
1043 ELM AVENUE
SUITE 300
LONG BEACH, CA 90813
Grant Number
H76HA00510
Participating Start Date
4/1/2001
Last Recertification Date
2/10/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
ST MARY HEALTH VENTURES
Pharmacy Address
DBA MEDICAL MALL PHARMACY
1040 ELM AVE STE 104
LONG BEACH, CA 90813
Pharmacy Comments
Contract Details
Approval Date
12/31/2002
Contract Begin Date
12/31/2002
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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