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ROGER'S PHARMACY
CH09848J COUNTY OF VENTURA
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Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Fillmore Family Medical Group
Type
HRSA-Funded Health Center
340B ID
CH09848J
Entity Address
828 Ventura St
Fillmore, CA 93015-1876
Grant Number
H80CS00247
Participating Start Date
10/9/2008
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
ROGER'S PHARMACY
Pharmacy Address
2909 LOMA VISTA RD
VENTURA, CA 93003-2915
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
8/22/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228
Contract Pharmacy Representative
Roger's Pharmacy
Mukesh Rai, Owner
(805) 981-3366
Signed By Date
4/14/2020
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