340B Drug Pricing Program Database

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NORTH LAKE MEDICAL PHARMACY #2
FQHC638009 LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC

Covered Entity Details

Tribal Contract/Compact with IHS (P.L. 93-638)
FQHC638009
925 BEVINS COURT
LAKEPORT, CA 95453
1/1/1995
2/10/2025


Pharmacy Details

347 LAKEPORT BOULEVARD
LAKEPORT, CA 95453-5412
1/11/10 ADDR UPDATE (WAS 355 LAKEPORT BLVD)

Contract Details

1/1/2007
1/1/2007


Contacts





11/28/2006