340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVELLA OF ORLANDO
CAH051321-00 NorCal HealthConnect LLC- DBA Healdsburg Hospital
Print
Covered Entity Details
Entity Name
NorCal HealthConnect LLC- DBA Healdsburg Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051321-00
Entity Address
1375 UNIVERSITY AVENUE
HEALDSBURG, CA 95448
Medicare Provider Number
051321
Participating Start Date
8/23/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
AVELLA OF ORLANDO
Pharmacy Address
100 TECHNOLOGY PARK STE 155
LAKE MARY, FL 32746-6205
Pharmacy Comments
Contract Details
Approval Date
11/14/2017
Contract Begin Date
11/14/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Berta Beadel Kaemmerling, Chief Nursing Officer
(707) 431-6327
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
11/14/2017
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