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STAN'S DRUGS
CH09365D CLINICAS DEL CAMINO REAL, INC.
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Covered Entity Details
Entity Name
CLINICAS DEL CAMINO REAL, INC.
Subdivision Name
Clinicas Del Camino Real Inc - Ventura
Type
HRSA-Funded Health Center
340B ID
CH09365D
Entity Address
200 S. Wells Road STE 100
Ventura, CA 93004-1302
Grant Number
H80CS00550
Participating Start Date
4/1/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
STAN'S DRUGS
Pharmacy Address
3001 S SAVIERS ROAD
OXNARD, CA 93033
Pharmacy Comments
Contract Details
Approval Date
4/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ANIL CHAWLA, CMO/MEDICAL DIRECTOR
(805) 659-1740
Contract Pharmacy Representative
Ali Karandish, President
(805) 486-2678
Signed By Date
4/12/2013
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