340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RALEY'S PHARMACY #213
CHC28981-00 WESTERN SIERRA MEDICAL CLINIC INC
Print
Covered Entity Details
Entity Name
WESTERN SIERRA MEDICAL CLINIC INC
Subdivision Name
Sierra Family Medical Clinic, Oregon House
Type
HRSA-Funded Health Center
340B ID
CHC28981-00
Entity Address
8676 Marysville Rd.
Oregon House, CA 95962-9718
Grant Number
H80CS08234
Participating Start Date
4/1/2016
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
RALEY'S PHARMACY #213
Pharmacy Address
692 FREEMAN LANE
GRASS VALLEY, CA 95949
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary Graeber, Senior Accountant
(530) 292-3478 Ext: 219
Contract Pharmacy Representative
Bill Okuno, Pharmacy Supervisor
(916) 373-6288
Signed By Date
4/15/2016
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