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.

IC PHARMACY LLC
CH093640 FAMILY HEALTHCARE NETWORK

Covered Entity Details

FHCN - PORTERVILLE CENTER
HRSA-Funded Health Center
CH093640
1107 W Poplar Ave
Porterville, CA 93257-5839
H80CS00786
4/1/1997
2/16/2024


Pharmacy Details

AMAZON PHARMACY #004
34 35TH STREET
STE 4BSW, UNIT 28
BROOKLYN, NY 11232

Contract Details

7/13/2024
10/1/2024


Contacts


Kerry Hydash, President and CEO
(559) 737-4700



Amazon Pharmacy
John Lavin, Director, Third Party Networks
(855) 745-5725
7/13/2024