340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PALM PHARMACY
CH09365D CLINICAS DEL CAMINO REAL, INC.
Print
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
PALM PHARMACY
Pharmacy Address
254 E HARVARD BLVD.
SANTA PAULA, CA 93060-3372
Pharmacy Comments
Contract Details
Approval Date
7/13/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/12/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ANIL CHAWLA, CMO/MEDICAL DIRECTOR
(805) 659-1740
Contract Pharmacy Representative
Independent
Sanjiv Pandya, Owner
(805) 525-8700
Signed By Date
7/13/2013
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