340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCRIPPS HEALTH GREEN AMBULATORY PHARMACY
CH09312BS FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Diamond Neighborhoods Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312BS
Entity Address
4725 MARKET ST
SAN DIEGO, CA 92102-4715
Grant Number
H80CS00224
Participating Start Date
7/1/2008
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
SCRIPPS HEALTH GREEN AMBULATORY PHARMACY
Pharmacy Address
10710 N TORREY PINES RD FL 2
LA JOLLA, CA 92037
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
SCRIPPS HEALTH PHARMACY
Tony Jackson, Senior Director, Pharmacy and Clinical Services
(619) 260-7227
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