340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KOMOTO PHARMACY
CH09039E CLINICA SIERRA VISTA
Print
Covered Entity Details
Entity Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - Delano Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH09039E
Entity Address
1508 GARCES HWY STE 1
DELANO, CA 93215
Grant Number
H80CS00540
Participating Start Date
1/1/2004
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
KOMOTO PHARMACY
Pharmacy Address
KOMOTO PHARMACY
1017 ELLINGTON ST
DELANO, CA 93215-2621
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Contract Pharmacy Representative
Clinica Sierra Vista
Kristin Andolfo, 340B Analyst
(917) 502-0819
Signed By Date
7/15/2024
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