340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN PHARMACY GROUP LLC
CH09312BT FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Lemon Grove Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312BT
Entity Address
7592 Broadway
Lemon Grove, CA 91945-1604
Grant Number
H80CS00224
Participating Start Date
10/1/2010
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
WESTERN PHARMACY GROUP LLC
Pharmacy Address
DBA MEDICAL CENTER PHARMACY
3904 PARK BLVD
SAN DIEGO, CA 92103-3502
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
Western Pharmacy Group
Will Donovan, Pharmacist
(619) 295-3109
Signed By Date
10/14/2019
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