340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DOKIMOS' EAST MAIN PHARMACY
DSH050150 SIERRA NEVADA MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
SIERRA NEVADA MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050150
Entity Address
155 GLASSON WAY
GRASS VALLEY, CA 95945
Medicare Provider Number
050150
Participating Start Date
7/1/2016
Last Recertification Date
Pharmacy Details
Pharmacy Name
DOKIMOS' EAST MAIN PHARMACY
Pharmacy Address
640 E MAIN ST STE 2
GRASS VALLEY, CA 95945-5854
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Hall, VP and CFO
(530) 274-6099
Contract Pharmacy Representative
Dokimos Pharmacy
David Dokimos, Owner
(530) 274-0100
Signed By Date
10/15/2020
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