340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LOYALTON PHARMACY
CH092176A WESTERN SIERRA MEDICAL CLINIC
Print
Covered Entity Details
Entity Name
WESTERN SIERRA MEDICAL CLINIC
Subdivision Name
MOBILE CLINIC SITE
Type
HRSA-Funded Health Center
340B ID
CH092176A
Entity Address
209 NEVADA STREET
DOWNIEVILLE, CA 95936
Grant Number
H80CS08234
Participating Start Date
7/1/2008
Last Recertification Date
3/6/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
LOYALTON PHARMACY
Pharmacy Address
60801 HIGHWAY 49
PO BOX 36
LOYALTON, CA 96118
Pharmacy Comments
2/12/10 - UPDATED ADD (WAS HWY 49, PO BOX 36, LOYALTON, CA, A RURAL ROAD WITH NO ADDRESS, NOW THEY HAVE A REAL NUMBER/ADD)
Contract Details
Approval Date
1/22/2009
Contract Begin Date
1/22/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
12/19/2008
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