340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
INNOVA PHARMACY IV
CHC24113-20 ELICA HEALTH CENTERS
Print
Covered Entity Details
Entity Name
ELICA HEALTH CENTERS
Subdivision Name
Elica Health Centers North Highlands
Type
HRSA-Funded Health Center
340B ID
CHC24113-20
Entity Address
4815 Watt Ave
North Highlands, CA 95660
Grant Number
H80CS24113
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
INNOVA PHARMACY IV
Pharmacy Address
4815 WATT AVE STE B101
NORTH HIGHLANDS, CA 95660-5108
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David E Hughes, COO/CFO
(916) 569-8484 Ext: 312
Contract Pharmacy Representative
Family Discount Pharmacy
Tim Le, Owner
(916) 481-6900
Signed By Date
1/11/2021
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