340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

IVANHOE PHARMACY
DSH050057 Kaweah Delta Health Care District DBA Kaweah Health

Covered Entity Details

Disproportionate Share Hospital
DSH050057
400 West Mineral King Avenue
Visalia, CA 93291
050057
7/1/2004
8/22/2024


Pharmacy Details

33060 RD 159
IVANHOE, CA 93235-1235

Contract Details

4/28/2015
7/1/2015

9/30/2015
Business decision by covered entity and/or pharmacy


Contacts


GARY K. HERBST, Chief Executive Officer
(559) 624-2330



Ed Derderian, Owner
(559) 798-1219
4/28/2015