340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MOLLISON PHARMACY
CH09312DH FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
FamilyHealth - Center for Older Adults
Type
HRSA-Funded Health Center
340B ID
CH09312DH
Entity Address
3420 College Ave
San Diego, CA 92115-7134
Grant Number
H80CS00224
Participating Start Date
11/30/2018
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
MOLLISON PHARMACY
Pharmacy Address
505 N MOLLISON AVE STE 101A
EL CAJON, CA 92021-6159
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
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
MERCY CARE PHARMACY
Bassam Massaad, Pharmacist/Owner
(760) 294-0014
Signed By Date
10/15/2019
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