340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN PHARMACY GROUP LLC
CH095440 La Maestra Family Clinic, Inc.
Print
Covered Entity Details
Entity Name
La Maestra Family Clinic, Inc.
Subdivision Name
La Maestra Family clinic
Type
HRSA-Funded Health Center
340B ID
CH095440
Entity Address
4060 Fairmount Ave
San Diego, CA 92105-1608
Grant Number
H80CS00812
Participating Start Date
4/1/2000
Last Recertification Date
2/12/2025
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
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ZARA MARSELIAN, CEO
(619) 584-1612 Ext: 3018
Contract Pharmacy Representative
Western Pharmacy Group
Doug Faucher, Pharmacist
(619) 422-9291
Signed By Date
4/12/2018
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