340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARIN APOTHECARIES, INC.
CH09879L SANTA ROSA COMMUNITY HEALTH CENTERS
Print
Covered Entity Details
Entity Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
Roseland Children's Health Center
Type
HRSA-Funded Health Center
340B ID
CH09879L
Entity Address
962 Sebastopol Rd
Santa Rosa, CA 95407-6829
Grant Number
H80CS00259
Participating Start Date
7/1/2014
Last Recertification Date
3/4/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
MARIN APOTHECARIES, INC.
Pharmacy Address
LOMBARDI ROSA PHARMACY
751 LOMBARDI CT
SUITE 100
SANTA ROSA, CA 95407-6798
Pharmacy Comments
Contract Details
Approval Date
1/6/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Kai Nissley, COO
(707) 303-3600 Ext: 3430
Contract Pharmacy Representative
Cristie Pellegrini, Regional Director of Pharmacies
(512) 596-2930 Ext: 706
Signed By Date
1/6/2015
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