340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

KROGER SPECIALTY INFUSION CA
DSH050078 PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA DBA PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO

Covered Entity Details

Disproportionate Share Hospital
DSH050078
1300 W 7TH STREET
SAN PEDRO, CA 90732
050078
7/1/2005
8/23/2024


Pharmacy Details

19110 VAN NESS AVE.
TORRANCE, CA 90501

Contract Details

7/15/2019
10/1/2019


Contacts


Ted Wang, CFO
(310) 303-6114



Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
7/15/2019