340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICAL PLAZA PHARMACY
CH09365AK Clinicas del Camino Real, Inc.
Print
Covered Entity Details
Entity Name
Clinicas del Camino Real, Inc.
Subdivision Name
Clinicas del Camino Real, Inc. - Paseo Camarillo
Type
HRSA-Funded Health Center
340B ID
CH09365AK
Entity Address
730 Paseo Camarillo
Camarillo, CA 93010-6064
Grant Number
H80CS00550
Participating Start Date
7/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MEDICAL PLAZA PHARMACY
Pharmacy Address
SCRIPT COMPANY, INC. DBA
353 CENTRAL AVENUE
FILLMORE, CA 93015
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Robert Streeter, Chief Medical Officer
(805) 659-1740
Contract Pharmacy Representative
Roger's Pharmacy
Mukesh Rai, Owner
(805) 981-3366
Signed By Date
7/13/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session