340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHARP REES STEALY PHARMACY #1
DSH050026 GROSSMONT HOSPITAL
Print
Covered Entity Details
Entity Name
GROSSMONT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050026
Entity Address
5555 GROSSMONT CENTER DRIVE
LA MESA, CA 91942
Medicare Provider Number
050026
Participating Start Date
7/1/2004
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SHARP REES STEALY PHARMACY #1
Pharmacy Address
300 FIR STREET
SAN DIEGO, CA 92101-2327
Pharmacy Comments
12/10/2012 address update (was 2001 FOURTH AVENUE)
Contract Details
Approval Date
1/11/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daniel Kindron, CFO
(619) 740-4743
Contract Pharmacy Representative
Kim Allen, Pharmacy Manager
(619) 446-1515
Signed By Date
1/11/2017
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