340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AD-RX PHARMACY
CH09108C CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Print
Covered Entity Details
Entity Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Subdivision Name
San Ysidro Health Euclid
Type
HRSA-Funded Health Center
340B ID
CH09108C
Entity Address
286 Euclid Ave STE 302
San Diego, CA 92114-3613
Grant Number
H80CS10748
Participating Start Date
4/1/2009
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
AD-RX PHARMACY
Pharmacy Address
6240 WILSHIRE BLVD.
LOS ANGELES, CA 90048
Pharmacy Comments
Contract Details
Approval Date
6/14/2012
Contract Begin Date
6/14/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ed Martinez, President and CEO
(619) 428-4463
Contract Pharmacy Representative
Sherri Cherman, President / Chief Operating Officer
(626) 932-1603
Signed By Date
4/27/2012
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