340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN PHARMACY GROUP LLC
CH091100 VALLEY HEALTH TEAM, INC.
Print
Covered Entity Details
Entity Name
VALLEY HEALTH TEAM, INC.
Subdivision Name
SAN JOAQUIN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH091100
Entity Address
21890 COLORADO AVENUE
SAN JOAQUIN, CA 93660-0737
Grant Number
H80CS00525
Participating Start Date
7/1/1999
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WESTERN PHARMACY GROUP LLC
Pharmacy Address
DBA COMMUNITY MEDICAL CENTER PHARMACY
610 GATEWAY CENTER WAY
SUITES A--E
SAN DIEGO, CA 92102
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943
Contract Pharmacy Representative
Western Pharmacy Group LLC
KEVIN FARIS, CEO
(360) 685-4263
Signed By Date
4/15/2019
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