Contract Pharmacy Details

C&S PHARMACY
CH090250 CLINICAS DE SALUD DEL PUEBLO,Inc.

Covered Entity Details

Entity Name

CLINICAS DE SALUD DEL PUEBLO,Inc.

Subdivision Name

Innercare K Street

Type

HRSA-Funded Health Center

340B ID

CH090250

Entity Address

1166 K St
Brawley, CA 92227-2737

Grant Number

H80CS00733

Participating Start Date

12/1/1992

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

C&S PHARMACY

Pharmacy Address

DBA: LA BOTICA PHARMACY
49281 GRAPEFRUIT BLVD STE 2
COACHELLA, CA 92236

Pharmacy Comments

Contract Details

Approval Date

1/8/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/31/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

YVONNE BELL, CEO
(760) 344-9951 Ext: 10102

Contract Pharmacy Representative

Chandra Patel, Owner/Pharm.D
(760) 296-3468

Signed By Date

1/8/2014

340B Drug Pricing Program Database