340B Drug Pricing Program Database

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NORTH LAKE MEDICAL PHARMACY #2
CAH051317-00 Adventist Health Clearlake Hospital, Inc.

Covered Entity Details

Critical Access Hospital
CAH051317-00
15630 18th Ave - Hwy 53
Clearlake, CA 95422
051317
10/1/2011
9/4/2024


Pharmacy Details

347 LAKEPORT BOULEVARD
LAKEPORT, CA 95453-5412
1/11/10 ADDR UPDATE (WAS 355 LAKEPORT BLVD)

Contract Details

10/3/2012
10/3/2012

9/30/2020
Ownership change


Contacts


Edward McDonald, CFO/COO
(707) 963-6217



Bill Kearney, Owner
(707) 263-1328
9/11/2012