340B Drug Pricing Program Database

Pharmacy Name

MORAN'S PHARMACY

Pharmacy Address

15175 LAKESHORE DR
CLEARLAKE, CA 95422-8106

Pharmacy Comments

Approval Date

1/17/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

CARLTON Edward JACOBSON, CHIEF FINANCIAL OFFICER
(707) 456-3001

Contract Pharmacy Representative

Guinder S. Grewal, owner
(707) 994-6440

Signed By Date

1/3/2013