340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PMD PHARMACY LLC
CH092536AN JWCH Institute, Inc.
Print
Covered Entity Details
Entity Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers- Palmdale Central
Type
HRSA-Funded Health Center
340B ID
CH092536AN
Entity Address
2151 E Palmdale Blvd
Palmdale, CA 93550-4037
Grant Number
H80CS06673
Participating Start Date
5/2/2019
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
PMD PHARMACY LLC
Pharmacy Address
PMD PHARMACY
44469 10TH STREET W
SUITE B
LANCASTER, CA 93534-9353
Pharmacy Comments
Contract Details
Approval Date
7/10/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/11/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
PMD Pharmacy #1
Minh Tran, Pharmacy POC
(571) 454-8174
Signed By Date
7/10/2019
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