Contract Pharmacy Details

BIOPLUS SPECIALTY INFUSION CA, LLC
CH09365A CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Entity Name

CLINICAS DEL CAMINO REAL, INC.

Subdivision Name

Clinicas Del Camino Real Inc - Fillmore

Type

HRSA-Funded Health Center

340B ID

CH09365A

Entity Address

355 Central Ave
Fillmore, CA 93015-1920

Grant Number

H80CS00550

Participating Start Date

7/1/1995

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

BIOPLUS SPECIALTY INFUSION CA, LLC

Pharmacy Address

19110 VAN NESS AVE.
TORRANCE, CA 90501

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/16/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109

Signed By Date

7/17/2023

340B Drug Pricing Program Database