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THE MEDICINE SHOPPE #387
CH09848AD COUNTY OF VENTURA
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Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Magnolia West
Type
HRSA-Funded Health Center
340B ID
CH09848AD
Entity Address
2220 E Gonzales Rd Suite 120 A/B
Oxnard, CA 93036-3707
Grant Number
H80CS00247
Participating Start Date
4/1/2014
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE #387
Pharmacy Address
2611 EAST THOMPSON BLVD
UNIT 103
VENTURA, CA 93003
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/22/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joan Araujo, Deputy Director
(805) 677-5174
Contract Pharmacy Representative
Independent
Bruce Sharp, Owner
(805) 648-2724
Signed By Date
10/13/2014
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