340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PREMIER PHARMACY SERVICES
RWI91711 Foothill AIDS Project
Print
Covered Entity Details
Entity Name
Foothill AIDS Project
Subdivision Name
Type
Ryan White Part A
340B ID
RWI91711
Entity Address
678 S. Indian Hill Blvd. Suite 220
Claremont, CA 91711
Grant Number
H89HA00032
Participating Start Date
10/1/2012
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY SERVICES
Pharmacy Address
410 CLOVERLEAF DR
BALDWIN PARK, CA 91706
Pharmacy Comments
Contract Details
Approval Date
1/3/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maritza Tona, Executive Director
(909) 482-2066 Ext: 310
Contract Pharmacy Representative
Premier Pharmacy
Stephen Samuel, Chief Executive
(800) 540-4700
Signed By Date
1/3/2018
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