Contract Pharmacy Details

ARVIN PHARMACY
CH09039H CLINICA SIERRA VISTA

Covered Entity Details

Entity Name

CLINICA SIERRA VISTA

Subdivision Name

CLINICA SIERRA VISTA - Arvin Community Health Center

Type

HRSA-Funded Health Center

340B ID

CH09039H

Entity Address

1305 Bear Mountain Blvd
Arvin, CA 93203

Grant Number

H80CS00540

Participating Start Date

1/1/2004

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

ARVIN PHARMACY

Pharmacy Address

1241 BEAR MOUNTAIN BLVD
SUITE E
ARVIN, CA 93203

Pharmacy Comments

Contract Details

Approval Date

4/12/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dixit Bhakta, Director of Pharmacy
(661) 779-3118

Contract Pharmacy Representative

Arvin Pharmacy
Zinal Patel, Owner
(661) 390-4466

Signed By Date

4/12/2024