340B Drug Pricing Program Database

Pharmacy Name

SAVE MART PHARMACY #76

Pharmacy Address

1045 MONO WAY
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

9/12/2022
Pharmacy closed

Covered Entity Signing Official

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

Contract Pharmacy Representative

Robert Vaughan, Senior Director of Pharmacy Operations
(209) 574-6220

Signed By Date

3/2/2017