340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2032
CH09848V COUNTY OF VENTURA
Print
Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Sierra Vista Family Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH09848V
Entity Address
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Grant Number
H80CS00247
Participating Start Date
10/9/2008
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2032
Pharmacy Address
2001 NORTH ROSE AVENUE
OXNARD, CA 93036
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joan Araujo, Deputy Director
(805) 677-5174
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/15/2015
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