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VENTURA COUNTY PHARMACY
CH09848AC COUNTY OF VENTURA
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Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Las Islas Mobile Clinic
Type
HRSA-Funded Health Center
340B ID
CH09848AC
Entity Address
325 W. Channel Islands Blvd
Oxnard, CA 93033
Grant Number
H80CS00247
Participating Start Date
4/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
VENTURA COUNTY PHARMACY
Pharmacy Address
3350 LOMA VISTA RD
VENTURA, CA 93003-3024
Pharmacy Comments
Contract Details
Approval Date
7/16/2017
Contract Begin Date
10/1/2017
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
Susan White Wood, HRSA Grants Manager
(805) 339-1103
Contract Pharmacy Representative
Independent
Amini Hishmeh, President
(805) 765-6046
Signed By Date
7/16/2017
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