340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CARRANZA PHARMACY HUGHSON
CH091963G LIVINGSTON COMMUNITY HEALTH
Print
Covered Entity Details
Entity Name
LIVINGSTON COMMUNITY HEALTH
Subdivision Name
Livingston Community Health Campus, B Street, Buildings A, B, C
Type
HRSA-Funded Health Center
340B ID
CH091963G
Entity Address
600 B Street BLDG A, B, C
Livingston, CA 95334-9593
Grant Number
H80CS02588
Participating Start Date
7/1/2019
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
CARRANZA PHARMACY HUGHSON
Pharmacy Address
2431 3RD ST
SUITE A
HUGHSON, CA 95326
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leslie Abasta-Cummings, CEO
(209) 850-3545
Contract Pharmacy Representative
Carranza Pharmacy
Manpreet Atwal, PIC
(209) 883-4911
Signed By Date
1/16/2024
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