340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THE MEDICINE SHOPPE PHCY
FQHCLA311 Greater Fresno Health Organization
Print
Covered Entity Details
Entity Name
Greater Fresno Health Organization
Subdivision Name
Kings Winery Medical Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA311
Entity Address
4929 E Cesar Chavez Blvd
Fresno, CA 93727-3812
Grant Number
LALCS00041
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE PHCY
Pharmacy Address
4009 N MARKS AVE
FRESNO, CA 93722
Pharmacy Comments
Contract Details
Approval Date
7/9/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bobby Bliatout, CEO
(559) 255-6476
Contract Pharmacy Representative
Bob Zingarelli, Owner/Rph
(559) 226-1201
Signed By Date
7/9/2014
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