340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MYERS MEDICAL PHARMACY
FQHC638016 ROUND VALLEY INDIAN HEALTH
Print
Covered Entity Details
Entity Name
ROUND VALLEY INDIAN HEALTH
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638016
Entity Address
24065 Biggar Lane
COVELO, CA 95428
Grant Number
Participating Start Date
7/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MYERS MEDICAL PHARMACY
Pharmacy Address
260 HOSPITAL DR STE 111
UKIAH, CA 95482-4568
Pharmacy Comments
Contract Details
Approval Date
7/10/2014
Contract Begin Date
8/7/2014
Carve-In Effective Date
Contract Comments
08/07/2014 Immediate Begin date authorized
Contacts
Covered Entity Signing Official
JAMES RUSS, EXECUTIVE DIRECTOR
(707) 983-6404 Ext: 116
Contract Pharmacy Representative
Tim Keffeler, Owner
(707) 468-8991
Signed By Date
7/10/2014
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