340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
IMANOEL PHARMACY
CHC08241-12 MISSION CITY COMMUNITY NETWORK, INC.
Print
Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission City Community Network - Victorville
Type
HRSA-Funded Health Center
340B ID
CHC08241-12
Entity Address
15201 11st Street Ste., # 300
Victorville, CA 92395-0735
Grant Number
H80CS08241
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
IMANOEL PHARMACY
Pharmacy Address
DBA SUNSHINE PHARMACY
357 N FAIRFAX AVE
LOS ANGELES, CA 90036
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
National Pharmacy
MICHAEL M. IMANOEL, PRESIDENT
(323) 851-4444
Signed By Date
1/15/2018
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