340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN PHARMACY GROUP LLC
CH093120 FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Logan Heights Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH093120
Entity Address
1809 National Ave
San Diego, CA 92113-2113
Grant Number
H80CS00224
Participating Start Date
12/1/1992
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
WESTERN PHARMACY GROUP LLC
Pharmacy Address
DBA MEDICAL CENTER PHARMACY
340 4TH AVE STE 1
CHULA VISTA, CA 91910-3882
Pharmacy Comments
Contract Details
Approval Date
3/7/2018
Contract Begin Date
3/9/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/4/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
Western Pharmacy Group
Doug Faucher, Pharmacist
(619) 422-9291
Signed By Date
3/7/2018
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