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.

PROCARE PHARMACY, L.L.C.
CH09194D MENDOCINO COMMUNITY HEALTH CLINIC, INC.

Covered Entity Details

Dora Street Health Center
HRSA-Funded Health Center
CH09194D
1165 S Dora St Ste A1
Ukiah, CA 95482
H80CS00628
1/1/2019
2/16/2024


Pharmacy Details

DBA CVS/PHARMACY
445 CASTRO STREET
SAN FRANCISCO, CA 94114

Contract Details

10/24/2023
1/1/2024


Contacts


Rod Grainger, CEO
(707) 472-4667



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
10/24/2023