340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2032
CH09365Y CLINICAS DEL CAMINO REAL, INC.
Print
Covered Entity Details
Entity Name
CLINICAS DEL CAMINO REAL, INC.
Subdivision Name
Clinicas del Camino Real Inc - El Rio
Type
HRSA-Funded Health Center
340B ID
CH09365Y
Entity Address
2600 E Vineyard Ave
Oxnard, CA 93036
Grant Number
H80CS00550
Participating Start Date
7/1/2010
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2032
Pharmacy Address
2001 NORTH ROSE AVENUE
OXNARD, CA 93036
Pharmacy Comments
Contract Details
Approval Date
4/8/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gagan Pawar, Chief Medical Officer
(805) 659-1740
Contract Pharmacy Representative
Walmart
Kathi Phelps, Manager Contracting & Channel Management
(479) 227-3719
Signed By Date
4/8/2015
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