Contract Pharmacy Details

RALPHS GROCERY CO
HV00659A EL PROYECTO DEL BARRIO, INC.

Covered Entity Details

Entity Name

EL PROYECTO DEL BARRIO, INC.

Subdivision Name

Rayan White Part C,HIV program

Type

Ryan White Part C

340B ID

HV00659A

Entity Address

9140 Van Nuys Blvd.
207
Panorama City, CA 91402

Grant Number

H76HA00659

Participating Start Date

4/1/2009

Last Recertification Date

2/14/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

RALPHS GROCERY CO

Pharmacy Address

DBA RALPHS #704
16940 DEVONSHIRE ST
GRANADA HILLS, CA 91344

Pharmacy Comments

Contract Details

Approval Date

10/1/2012

Contract Begin Date

10/1/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

CORINNE SANCHEZ, PRESIDENT/CEO
(818) 810-3500

Contract Pharmacy Representative

Rebecca Cupp, Pharmacy Merchandiser
(310) 951-9459

Signed By Date

8/24/2012

340B Drug Pricing Program Database