340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FARMACIA DEL PUEBLO
DSH050045 EL CENTRO REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
EL CENTRO REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050045
Entity Address
1415 ROSS AVENUE
EL CENTRO, CA 92243
Medicare Provider Number
050045
Participating Start Date
10/1/2006
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
FARMACIA DEL PUEBLO
Pharmacy Address
801 E BIRCH ST STE #4
CALEXICO, CA 92231
Pharmacy Comments
Contract Details
Approval Date
7/12/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALEX WELLS, CFO
(760) 370-3774
Contract Pharmacy Representative
Pharmacy Specialist Group Inc
Satish Gunda, Owner
(212) 234-2050
Signed By Date
7/12/2013
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