Contract Pharmacy Details

NATIVIDAD
FQHCLA002F MONTEREY COUNTY DEPT OF HEALTH

Covered Entity Details

Entity Name

MONTEREY COUNTY DEPT OF HEALTH

Subdivision Name

LAUREL WOMEN'S HEALTH

Type

Health Center Program Look-Alike

340B ID

FQHCLA002F

Entity Address

1441 CONSTITUTION BLVD, BLDG 200, SUITE 105
SALINAS, CA 93906

Grant Number

LALCS00049

Participating Start Date

4/1/2006

Last Recertification Date

2/24/2016

Entity Termination Date

4/1/2016

Pharmacy Details

Pharmacy Name

NATIVIDAD

Pharmacy Address

MEDICAL CENTER PHCY
1441 CONSTITUTION BLVD
SALINAS, CA 93906-3100

Pharmacy Comments

Contract Details

Approval Date

12/31/2007

Contract Begin Date

12/31/2007

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2016

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

12/27/2007

340B Drug Pricing Program Database