340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LIMAS PROFESSIONAL PHARMACY 1
CAH051318-00 St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
Print
Covered Entity Details
Entity Name
St Joseph Health Northern California LLC- DBA Redwood Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051318-00
Entity Address
3300 Renner Drive
Fortuna, CA 95540
Medicare Provider Number
051318
Participating Start Date
4/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
LIMAS PROFESSIONAL PHARMACY 1
Pharmacy Address
2097 HARRISON AVE
EUREKA, CA 95501-3211
Pharmacy Comments
Contract Details
Approval Date
1/8/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kevin Klockenga, CEO
(707) 522-1520
Contract Pharmacy Representative
LIMAS PROFESSIONAL PHARMACY
ROBERT LIMA, OWNER
(707) 441-8530
Signed By Date
1/8/2020
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