340B Drug Pricing Program Database

Pharmacy Name

SONORA COMMUNITY HOSPITAL

Pharmacy Address

DBA ADVENTIST HEALTH SONORA
1000 GREENLEY ROAD
SONORA, CA 95370

Pharmacy Comments

Approval Date

3/2/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/28/2018
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Andrew Jahn, PRESIDENT/CEO
(209) 536-5012

Contract Pharmacy Representative

Tari Brink, Pharmacy Operations Coordinator
(209) 536-3698

Signed By Date

3/2/2017