Contract Pharmacy Details

WESTSIDE PHARMACY
CH091160 SALUD PARA LA GENTE

Covered Entity Details

Entity Name

SALUD PARA LA GENTE

Subdivision Name

SALUD PARA LA GENTE, INC.

Type

HRSA-Funded Health Center

340B ID

CH091160

Entity Address

204 E Beach St
Watsonville, CA 95076-4809

Grant Number

H80CS00226

Participating Start Date

4/1/1996

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

WESTSIDE PHARMACY

Pharmacy Address

1401 MISSION ST
SANTA CRUZ, CA 95060-4738

Pharmacy Comments

Contract Details

Approval Date

5/7/2012

Contract Begin Date

5/7/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/12/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Zettie D. Page, CEO
(831) 728-8250

Contract Pharmacy Representative

Chris Quesenberry, Owner
(831) 423-7175

Signed By Date

4/25/2012

340B Drug Pricing Program Database