340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5023
CH09312BU FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
FHCSD Mobile Medical Unit III
Type
HRSA-Funded Health Center
340B ID
CH09312BU
Entity Address
823 Gateway Center Way
San Diego, CA 92102-4541
Grant Number
H80CS00224
Participating Start Date
1/1/2011
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5023
Pharmacy Address
1200 HIGHLAND AVE
NATIONAL CITY, CA 91950
Pharmacy Comments
Contract Details
Approval Date
9/27/2012
Contract Begin Date
9/27/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Fran Butler-Cohen, CEO
(619) 515-2301
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
9/7/2012
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