340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SANTA YNEZ TRIBAL HEALTH
FQHC638444 SANTA YNEZ TRIBAL HEALTH
Print
Covered Entity Details
Entity Name
SANTA YNEZ TRIBAL HEALTH
Subdivision Name
DENTAL DEPARTMENT
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638444
Entity Address
90 VIA JUANA LANE
SANTA YNEZ, CA 93460
Grant Number
Participating Start Date
7/1/2008
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
SANTA YNEZ TRIBAL HEALTH
Pharmacy Address
PO BOX 539
90 VIA JUANA LANE
SANTA YNEZ, CA 93460-0539
Pharmacy Comments
Contract Details
Approval Date
10/12/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ron Sisson, EXECUTIVE DIRECTOR
(805) 694-2650 Ext: 16
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2020
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