Contract Pharmacy Details

THE VONS COMPANIES INC
CHC28366-01 HARBOR COMMUNITY CLINIC

Covered Entity Details

Entity Name

HARBOR COMMUNITY CLINIC

Subdivision Name

Beacon Street Health Center

Type

HRSA-Funded Health Center

340B ID

CHC28366-01

Entity Address

731 S. Beacon Street
San Pedro, CA 90731

Grant Number

H80CS28366

Participating Start Date

1/1/2016

Last Recertification Date

2/7/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

THE VONS COMPANIES INC

Pharmacy Address

VONS PHARMACY #2283
1221 GAFFEY ST
SAN PEDRO, CA 90731-4014

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Nathalia Jimenez, COO
(310) 547-0202 Ext: 134

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

4/14/2020

340B Drug Pricing Program Database