340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMUNITY MEDICAL PHARMACY
CH091080 SAN YSIDRO HEALTH CENTER
Print
Covered Entity Details
Entity Name
SAN YSIDRO HEALTH CENTER
Subdivision Name
San Ysidro Health San Ysidro Health Center
Type
HRSA-Funded Health Center
340B ID
CH091080
Entity Address
4004 BEYER BLVD
San Ysidro, CA 92173
Grant Number
H80CS10748
Participating Start Date
12/1/1992
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
COMMUNITY MEDICAL PHARMACY
Pharmacy Address
IN-HOUSE PHARMACIES, INC.
610 GATEWAY CENTER WAY NO. A
SAN DIEGO, CA 92102-4548
Pharmacy Comments
Contract Details
Approval Date
6/15/2012
Contract Begin Date
6/15/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2018
Ownership change
Contacts
Covered Entity Signing Official
Gilbert Fimbres, CFO
(619) 662-6331
Contract Pharmacy Representative
George Awad, Pharmacy Director
(619) 997-4702
Signed By Date
7/13/2012
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