340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
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
DSH050231 POMONA VALLEY HOSPITAL MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH050231
1798 NORTH GAREY AVENUE
POMONA, CA 91767
050231
1/1/2007
8/27/2024


Pharmacy Details

19110 VAN NESS AVE.
TORRANCE, CA 90501

Contract Details

10/10/2019
1/1/2020

12/14/2021
Business decision by covered entity and/or pharmacy


Contacts


Michael A.G. Nelson, Vice President
(909) 865-9843



Pomona Valley Hospital
Michael Campbell, Director of Pharmacy
(909) 865-9501
10/10/2019