340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

GENOA HEALTHCARE LLC
CH09365A CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Clinicas Del Camino Real Inc - Fillmore
HRSA-Funded Health Center
CH09365A
355 Central Ave
Fillmore, CA 93015-1920
H80CS00550
7/1/1995
2/8/2024


Pharmacy Details

1701 MISSION AVE STE 230 RM P1
OCEANSIDE, CA 92058

Contract Details

7/13/2023
10/1/2023


Contacts


Robert Streeter, Chief Medical Officer
(805) 659-1740



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
7/13/2023