Contract Pharmacy Details

LAGUNA DRUGS
CH090720 NORTH COUNTY HEALTH PROJECT, INC

Covered Entity Details

Entity Name

NORTH COUNTY HEALTH PROJECT, INC

Subdivision Name

TrueCare

Type

HRSA-Funded Health Center

340B ID

CH090720

Entity Address

150 Valpreda Road
San Marcos, CA 92069-2973

Grant Number

H80CS00228

Participating Start Date

12/1/1992

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

LAGUNA DRUGS

Pharmacy Address

239 BROADWAY ST
LAGUNA BEACH, CA 92651-1806

Pharmacy Comments

Contract Details

Approval Date

1/10/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/30/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

IRMA COTA, CEO
(760) 736-6755

Contract Pharmacy Representative

Laguna Drug
Dave Olsen, Owner
(949) 307-8335

Signed By Date

1/10/2014