Contract Pharmacy Details

MOWRY MEDICAL PHARMACY
CH09122G BAY AREA COMMUNITY HEALTH

Covered Entity Details

Entity Name

BAY AREA COMMUNITY HEALTH

Subdivision Name

Liberty St Health Clinic

Type

HRSA-Funded Health Center

340B ID

CH09122G

Entity Address

39500 Liberty St
Fremont, CA 94538-2211

Grant Number

H80CS02326

Participating Start Date

1/1/2001

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

MOWRY MEDICAL PHARMACY

Pharmacy Address

1999 MOWRY AVENUE
SUITE #2A
FREMONT, CA 94538-3203

Pharmacy Comments

Contract Details

Approval Date

3/1/2003

Contract Begin Date

3/1/2003

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/21/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database