340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PALM CARE PHARMACY
CH09312BZ FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Beach Area Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312BZ
Entity Address
3705 Mission Blvd
San Diego, CA 92109-7104
Grant Number
H80CS00224
Participating Start Date
1/1/2011
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
PALM CARE PHARMACY
Pharmacy Address
505 N MOLLISON AVE STE 102
EL CAJON, CA 92021-6159
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
PALM CARE PHARMACY
Usama Alkazaki, CEO/PIC
(619) 457-0545
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