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THE MEDICINE SHOPPE #387
CH09848AC COUNTY OF VENTURA
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Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Las Islas Mobile Clinic
Type
HRSA-Funded Health Center
340B ID
CH09848AC
Entity Address
325 W. Channel Islands Blvd
Oxnard, CA 93033
Grant Number
H80CS00247
Participating Start Date
4/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE #387
Pharmacy Address
2611 EAST THOMPSON BLVD
UNIT 103
VENTURA, CA 93003
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
5/24/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228
Contract Pharmacy Representative
Independent
Bruce Sharp, Owner
(805) 648-2724
Signed By Date
4/17/2023
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