340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1018
CH09039Y CLINICA SIERRA VISTA
Print
Covered Entity Details
Entity Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - Elm Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09039Y
Entity Address
2740 S Elm Ave
Fresno, CA 93706
Grant Number
H80CS00540
Participating Start Date
1/1/2009
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1018
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
2740 S ELM AVE RM 2
FRESNO, CA 93706-5435
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/10/2025
Ownership change
Contacts
Covered Entity Signing Official
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/15/2024
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