340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RX E-FILL SOLUTIONS
CH09100AE NORTHEAST VALLEY HEALTH CORPORATION
Print
Covered Entity Details
Entity Name
NORTHEAST VALLEY HEALTH CORPORATION
Subdivision Name
LAC-VALENCIA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09100AE
Entity Address
23763 Valencia Blvd
Valencia, CA 91355-2105
Grant Number
H80CS00139
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
28341 CONSTELLATION RD
SANTA CLARITA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
1/5/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly Wyard, Chief Executive Officer
(818) 898-1388 Ext: 41620
Contract Pharmacy Representative
Cardinal Health
Hazma Tarazi, Consultant
(614) 757-0386
Signed By Date
1/5/2018
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