Contract Pharmacy Details

OXNARD DRUG
CH09365AB CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Entity Name

CLINICAS DEL CAMINO REAL, INC.

Subdivision Name

Clinicas Del Camino Real, Inc. - East Simi Valley

Type

HRSA-Funded Health Center

340B ID

CH09365AB

Entity Address

4370 Eve Road
Simi Valley, CA 93063-2323

Grant Number

H80CS00550

Participating Start Date

7/1/2014

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

OXNARD DRUG

Pharmacy Address

105 W 5TH ST
OXNARD, CA 93030

Pharmacy Comments

Contract Details

Approval Date

4/13/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gagan Pawar, Chief Medical Officer
(805) 659-1740

Contract Pharmacy Representative

Oxnard Drug
Joe Hoffman, Owner
(805) 483-2115

Signed By Date

4/13/2015