340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
EXPRESS PHARMACY
FQ114D MISSION CITY COMMUNITY NETWORK INC
Print
Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK INC
Subdivision Name
Mission City Community Network - MOnrovia
Type
Health Center Program Look-Alike
340B ID
FQ114D
Entity Address
513 E. Lime Street STE 103
Monrovia, CA 91016-2983
Grant Number
LALCS00029
Participating Start Date
4/1/2013
Last Recertification Date
2/17/2017
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
EXPRESS PHARMACY
Pharmacy Address
EXPRESS PHARMACY
752 E ARROW HWY
POMONA, CA 91767
Pharmacy Comments
Contract Details
Approval Date
10/6/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
JACK VASOYA, PHARMACIST
(909) 398-1289
Signed By Date
10/6/2014
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