Contract Pharmacy Details

OWENS PHARMACY #21
CH092240 SHASTA COMMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

SHASTA COMMUNITY HEALTH CENTER

Subdivision Name

SHASTA COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH092240

Entity Address

1035 Placer St
Redding, CA 96001-1125

Grant Number

H80CS00832

Participating Start Date

4/1/1997

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

OWENS PHARMACY #21

Pharmacy Address

9387 DESCHUTES ROAD
SUITE 1
PALO CEDRO, CA 96073

Pharmacy Comments

Contract Details

Approval Date

10/13/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/7/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

DEAN C. GERMANO, CEO
(530) 246-5704

Contract Pharmacy Representative

Jamie Ingram, Corporate Controller
(530) 246-1075

Signed By Date

10/13/2015