340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SANTA MARIA PHARMACY INC
CHC28370-00 TRI-STATE COMMUNITY HEALTHCARE CENTER
Print
Covered Entity Details
Entity Name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Subdivision Name
Tri-State Community Healthcare Center
Type
HRSA-Funded Health Center
340B ID
CHC28370-00
Entity Address
1402 BAILEY AVE
NEEDLES, CA 92363-3104
Grant Number
H80CS28370
Participating Start Date
7/1/2017
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
SANTA MARIA PHARMACY INC
Pharmacy Address
DBA SANTA MARIA COMMUNITY PHARMACY
11004 VALLEY MALL
EL MONTE, CA 91731
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Aram Manoukian, CEO
(760) 326-0222 Ext: 8186584000
Contract Pharmacy Representative
PHARMACY
MARCOS SOLIMAN, OWNER
(714) 556-7788
Signed By Date
4/13/2020
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