Contract Pharmacy Details

GILBERT DRUGS
CHC10608-02 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Central City Community Health Center-Garden Grove

Type

HRSA-Funded Health Center

340B ID

CHC10608-02

Entity Address

12511 Brookhurst St
Garden Grove, CA 92840-4806

Grant Number

H80CS10608

Participating Start Date

10/1/2012

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

GILBERT DRUGS

Pharmacy Address

GILBERT RX INC.
9240 GARDEN GROVE BLVD, #20
GARDEN GROVE, CA 92844

Pharmacy Comments

Contract Details

Approval Date

7/17/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/17/2017
Agreement registered in error

Contacts

Covered Entity Signing Official

Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Contract Pharmacy Representative

Rachel G, Manager
(714) 638-8230

Signed By Date

7/17/2017

340B Drug Pricing Program Database