340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WESTERN PHARMACY GROUP LLC
CH09085AA AMPLA HEALTH
Print
Covered Entity Details
Entity Name
AMPLA HEALTH
Subdivision Name
Ampla Health Los Molinos Medical
Type
HRSA-Funded Health Center
340B ID
CH09085AA
Entity Address
7981 STATE HIGHWAY 99E
LOS MOLINOS, CA 96055-9782
Grant Number
H80CS00765
Participating Start Date
1/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WESTERN PHARMACY GROUP LLC
Pharmacy Address
DBA GALLOWAY'S MEDICAL CENTER PHARMACY
2995 NATIONAL AVE
SAN DIEGO, CA 92113-2419
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Contract Pharmacy Representative
Western Pharmacy Group LLC
Michelle Darnelle, Development Manager
(619) 262-4373
Signed By Date
4/13/2018
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