340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SANTA ELENA PHARMACY
CHC10608-00 CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Print
Covered Entity Details
Entity Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Subdivision Name
Central City Community Health Center, Inc. - Anaheim
Type
HRSA-Funded Health Center
340B ID
CHC10608-00
Entity Address
2237 W.Ball Road
Anaheim, CA 92804-5314
Grant Number
H80CS10608
Participating Start Date
7/1/2024
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SANTA ELENA PHARMACY
Pharmacy Address
9910 LONG BEACH BLVD
STE F
LYNWOOD, CA 90262
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
Santa Elena Pharmacy
Juana Valdez, Owner
(323) 249-8497
Signed By Date
10/16/2017
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