340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TIN RX / CASTRO, SAN FRANCISCO
FQHCLA382 LAGUNA BEACH COMMUNITY CLINIC INC
Print
Covered Entity Details
Entity Name
LAGUNA BEACH COMMUNITY CLINIC INC
Subdivision Name
Laguna Beach Community Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA382
Entity Address
362 Third Street
Laguna Beach, CA 92651
Grant Number
LALCS32582
Participating Start Date
4/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
TIN RX / CASTRO, SAN FRANCISCO
Pharmacy Address
2175 MARKET ST.
UNIT 122
SAN FRANCISCO, CA 94114
Pharmacy Comments
Contract Details
Approval Date
8/18/2022
Contract Begin Date
8/18/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/30/2024
Ownership change
Contacts
Covered Entity Signing Official
Jorge Rubal, C.E.O. / C.M.O.
(949) 494-0761 Ext: 132
Contract Pharmacy Representative
Tin Rx
Christina Garcia, CEO
(530) 824-0800
Signed By Date
8/18/2022
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