340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMACYWORX, INC.
CAH051334-00 OJAI VALLEY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
OJAI VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051334-00
Entity Address
1306 MARICOPA HIGHWAY
OJAI, CA 93023
Medicare Provider Number
051334
Participating Start Date
1/1/2017
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
PHARMACYWORX, INC.
Pharmacy Address
DBA: OJAI VILLAGE PHARMACY
11420 N VENTURA AVE STE 106
OJAI, CA 93023
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/24/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID BURRIS GLYER, cfo
(805) 652-5003
Contract Pharmacy Representative
Ojai Village Pharmacy
Milena Manukian, Vice President
(805) 646-7272
Signed By Date
1/15/2020
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