340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGH DESERT REGIONAL HEALTH CENTER PHARM
FP935501 Los Angeles County, Department of Health Services
Print
Covered Entity Details
Entity Name
Los Angeles County, Department of Health Services
Subdivision Name
South Valley Health Center
Type
Family Planning (Title X only)
340B ID
FP935501
Entity Address
38350 40th Street East
Palmdale, CA 93552
Grant Number
FPHPA096061
Participating Start Date
1/1/2013
Last Recertification Date
5/17/2016
Entity Termination Date
10/1/2016
Pharmacy Details
Pharmacy Name
HIGH DESERT REGIONAL HEALTH CENTER PHARM
Pharmacy Address
OUTPATIENT
335 E AVENUE I
RM 1A14
LANCASTER, CA 93535
Pharmacy Comments
Contract Details
Approval Date
1/16/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
Beryl Brooks, Administrator
(661) 471-4200
Contract Pharmacy Representative
High Desert Regional Health Center
Romina Panoussi, Chief of Pharmacy
(661) 471-4107
Signed By Date
1/7/2013
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