340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PAVILION PHARMACY AT JOHN MUIR HEALTH
DSH050180 JOHN MUIR MEDICAL CENTER - WC
Print
Covered Entity Details
Entity Name
JOHN MUIR MEDICAL CENTER - WC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050180
Entity Address
1601 YGNACIO VALLEY ROAD
WALNUT CREEK, CA 94598-3198
Medicare Provider Number
050180
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
PAVILION PHARMACY AT JOHN MUIR HEALTH
Pharmacy Address
177 LA CASA VIA STE 270
WALNUT CREEK, CA 94598
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Zach Harris, VP Ancillary Services
(808) 457-0157
Contract Pharmacy Representative
John Muir Health
Abdoali Shahdawala, Supervisor
(925) 692-5656
Signed By Date
4/2/2025
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