Contract Pharmacy Details

BJRX PHARMACY INC.
CH090780 Community Medical Centers, Inc.

Covered Entity Details

Entity Name

Community Medical Centers, Inc.

Subdivision Name

Community Medical Centers, Channel

Type

HRSA-Funded Health Center

340B ID

CH090780

Entity Address

701 E Channel St.
Stockton, CA 95202-2628

Grant Number

H80CS00138

Participating Start Date

12/1/1992

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

BJRX PHARMACY INC.

Pharmacy Address

1801 E.MARCH LANE
SUITE:B280
STOCKTON, CA 95210

Pharmacy Comments

Contract Details

Approval Date

4/30/2012

Contract Begin Date

4/30/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/27/2020
Ownership change

Contacts

Covered Entity Signing Official

DAVID JOMAOAS, COO
(209) 373-2832

Contract Pharmacy Representative

Pallair Reddy, Owner
(209) 474-3888

Signed By Date

4/20/2012