340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ORCHARD PHARMACEUTICAL SERVICES
DSH050239 GLENDALE ADVENTIST MEDICAL CENTER
Print
Covered Entity Details
Entity Name
GLENDALE ADVENTIST MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050239
Entity Address
1509 WILSON TERRACE
GLENDALE, CA 91206
Medicare Provider Number
050239
Participating Start Date
4/1/2005
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
ORCHARD PHARMACEUTICAL SERVICES
Pharmacy Address
7835 FREEDOM AVENUE
NORTH CANTON, OH 44720-6907
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelly Turner, Senior VP Finance
(818) 409-8289
Contract Pharmacy Representative
Nick Opalich, President
(330) 498-5812
Signed By Date
10/8/2012
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