340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RALEY'S PHARMACY #247
FQHC638008 KARUK TRIBE
Print
Covered Entity Details
Entity Name
KARUK TRIBE
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638008
Entity Address
64109 Hill side Road
HAPPY CAMP, CA 96039
Grant Number
Participating Start Date
1/1/1995
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RALEY'S PHARMACY #247
Pharmacy Address
1842 FORT JONES STREET
YREKA, CA 96097
Pharmacy Comments
Contract Details
Approval Date
12/12/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lessie Aubrey, Manager of Grants, Compliance
(530) 493-1600 Ext: 2042
Contract Pharmacy Representative
Bill Okuno, Pharmacy Supervisor
(916) 373-6288
Signed By Date
10/12/2012
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