340B Drug Pricing Program Database


CH093160 ARROYO VISTA FAMILY HEALTH FOUNDATION (Active) - information as of 6/21/2025 12:02:34 AM

Main Details
ARROYO VISTA FAMILY HEALTH FOUNDATION
ARROYO VISTA FAMILY HEALTH CENTER ~ Highland Park
HRSA-Funded Health Center
BPS-H80-002517
CH093160
H80CS00374


Additional Details
Active
7/1/1998
7/1/1998
5/28/2004
2/26/2025

Contacts

Arroyo Vista Family Health Center
Lorraine J. Estradas, CEO
(323) 254-5291 Ext: 3201

Arroyo Vista Family Health Center
Thuy Pham, CMO
(323) 254-5291 Ext: 3210

Addresses

6000 N Figueroa St
Los Angeles, CA 90042-4232

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
UPDATED CONTACT INFO05/28/2004
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372804/15/201407/01/2014  04/15/2014
Contract DetailBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001204/15/201407/01/2014  04/15/2014
Contract DetailCOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260201/15/201604/01/2016  03/30/2024
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004210/14/201901/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003110/14/201901/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180310/14/201901/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09617 2103 SOUTH ATLANTIC BOULEVARD
MONTEREY PARKCA9175404/15/202007/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09669 2530 GLENDALE BOULEVARD
LOS ANGELESCA9003904/15/202007/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16041 2120 W MAIN ST
ALHAMBRACA9180104/15/202007/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08853 1645 EAST 103RD STREET
LOS ANGELESCA9000207/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08892 5822 SOUTH VERMONT AVENUE
LOS ANGELESCA9004407/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09596 5960 PACIFIC BOULEVARD
HUNTINGTON PARKCA9025507/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09626 1701 SOUTH WESTERN AVENUE
LOS ANGELESCA9000607/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09639 11940 GARVEY AVENUE
EL MONTECA9173207/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09660 3751 WILSHIRE BOULEVARD
LOS ANGELESCA9001007/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09673 1550 PUENTE AVENUE
BALDWIN PARKCA9170607/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09674 1050 W. SUNSET BOULEVARD
LOS ANGELESCA9001207/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10509 3627 EAST CESAR EAST CHAVEZ AVENUE
LOS ANGELESCA9006307/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17004 7100 SANTA MONICA BLVD
WEST HOLLYWOODCA9004607/01/202010/01/2020 02/02/202202/15/2022
Contract DetailGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004211/01/199911/01/1999  03/28/2013
Contract DetailLH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003104/15/201407/01/2014 01/01/201910/30/2019
Contract DetailRX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135501/15/201604/01/2016 01/31/202403/30/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH093160ActiveBPS-H80-002517ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEALTH CENTER ~ Highland Park6000 N Figueroa St Los AngelesCA
CH09316BActiveBPS-H80-002058ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEALTH CENTER ~ El Sereno4815 EAST VALLEY BLVD STE C LOS ANGELESCA
CH09316CActiveBPS-H80-001175ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEALTH CENTER ~ Lincoln Heights2411 N. BROADWAY LOS ANGELESCA
CH09316DTerminatedBPS-H80-007422ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEATLH CENTER ~ Loma Dr.303 SOUTH LOMA DRIVE STE 202 LOS ANGELESCA
CH09316EActiveBPS-H80-009837ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEALTH CENTER ~ El Sereno Huntington Dr.4837 Huntington Dr N Los AngelesCA
CH09316FActiveBPS-H80-006724ARROYO VISTA FAMILY HEALTH FOUNDATIONARROYO VISTA FAMILY HEALTH CENTER ~ Mobile Clinic6000 N Figueroa St Los AngelesCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH093160BIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014  
CH09316CBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014  
CH09316BBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014  
CH09316DBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014 01/01/2019
CH09316EBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014  
CH09316FBIG 1 PHARMACY415 W VALLEY BLVD # B
SAN GABRIELCA91776-372807/01/2014  
CH093160BIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001207/01/2014  
CH09316CBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001207/01/2014  
CH09316BBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001207/01/2014  
CH09316DBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001210/10/2009 01/01/2019
CH09316EBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001207/01/2014  
CH09316FBIG 1 PHARMACY LA656 N BROADWAY
LOS ANGELESCA9001207/01/2014  
CH093160COUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016  
CH09316CCOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016  
CH09316BCOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016  
CH09316DCOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016 01/01/2019
CH09316ECOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016  
CH09316FCOUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2016  
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004201/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003101/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180301/01/2020 02/02/2022
CH09316BGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003101/01/2020 02/02/2022
CH09316BGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004201/01/2020 02/02/2022
CH09316BGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180301/01/2020 02/02/2022
CH09316CGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003101/01/2020 02/02/2022
CH09316CGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004201/01/2020 02/02/2022
CH09316CGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180301/01/2020 02/02/2022
CH09316EGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003101/01/2020 02/02/2022
CH09316EGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004201/01/2020 02/02/2022
CH09316EGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180301/01/2020 02/02/2022
CH09316FGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09666 2419 WORKMAN STREET
LOS ANGELESCA9003101/01/2020 02/02/2022
CH09316FGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09665 5944 N FIGUEROA ST
LOS ANGELESCA9004201/01/2020 02/02/2022
CH09316FGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09791 2532 W. VALLEY BLVD.
ALHAMBRACA9180301/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09617 2103 SOUTH ATLANTIC BOULEVARD
MONTEREY PARKCA9175407/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09669 2530 GLENDALE BOULEVARD
LOS ANGELESCA9003907/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16041 2120 W MAIN ST
ALHAMBRACA9180107/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08853 1645 EAST 103RD STREET
LOS ANGELESCA9000210/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08892 5822 SOUTH VERMONT AVENUE
LOS ANGELESCA9004410/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09596 5960 PACIFIC BOULEVARD
HUNTINGTON PARKCA9025510/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09626 1701 SOUTH WESTERN AVENUE
LOS ANGELESCA9000610/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09639 11940 GARVEY AVENUE
EL MONTECA9173210/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09660 3751 WILSHIRE BOULEVARD
LOS ANGELESCA9001010/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09673 1550 PUENTE AVENUE
BALDWIN PARKCA9170610/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09674 1050 W. SUNSET BOULEVARD
LOS ANGELESCA9001210/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10509 3627 EAST CESAR EAST CHAVEZ AVENUE
LOS ANGELESCA9006310/01/2020 02/02/2022
CH093160GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17004 7100 SANTA MONICA BLVD
WEST HOLLYWOODCA9004610/01/2020 02/02/2022
CH093160GOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004211/01/1999  
CH09316CGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004207/01/2014  
CH09316BGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004207/01/2014  
CH09316DGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004207/01/2014 01/01/2019
CH09316EGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004207/01/2014  
CH09316FGOOD PRICE PHARMACYGOOD PRICE PHARMACY 6000 N FIGUEROA ST STE 102
LOS ANGELESCA9004207/01/2014  
CH093160LH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2014 01/01/2019
CH09316CLH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2004 01/01/2019
CH09316BLH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2014 01/01/2019
CH09316DLH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2014 01/01/2019
CH09316ELH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2014 01/01/2019
CH09316FLH PHARMACY INCLINCOLN HEIGHTS PHARMACY 2417 N BROADWAY
LOS ANGELESCA9003107/01/2014 01/01/2019
CH093160RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/31/2024
CH09316CRX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/31/2024
CH09316BRX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/31/2024
CH09316DRX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/01/2019
CH09316ERX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/31/2024
CH09316FRX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135504/01/2016 01/31/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/9/2024 7:12:18 PM2/26/2025 3:34:36 PM2/26/2025 3:34 PM
DetailsLast Recertification DateUpdateRecertification2/8/2023 6:32:28 PM2/9/2024 7:12:18 PM2/9/2024 7:12 PM
DetailsLast Recertification DateUpdateRecertification2/15/2022 1:59:08 PM2/8/2023 6:32:28 PM2/8/2023 6:32 PM
DetailsLast Recertification DateUpdateRecertification2/11/2021 12:54:58 PM2/15/2022 1:59:08 PM2/15/2022 1:59 PM
DetailsLast Recertification DateUpdateRecertification2/20/2020 12:45:46 PM2/11/2021 12:54:58 PM2/11/2021 12:54 PM
DetailsLast Recertification DateUpdateRecertification1/31/2019 11:49:22 AM2/20/2020 12:45:46 PM2/20/2020 12:45 PM
DetailsLast Recertification DateUpdateRecertification2/16/2018 7:25:24 PM1/31/2019 11:49:22 AM1/31/2019 11:49 AM
DetailsLast Recertification DateUpdateRecertification2/13/2017 12:00:00 AM2/16/2018 7:25:24 PM2/16/2018 7:25 PM
ContactsPrimary ContactUpdateRecertificationPham, Thuy CMO 3232545291-3210Pham, Thuy CMO Arroyo Vista Family Health Center 3232545291-32102/16/2018 7:22 PM
ContactsAuthorizing OfficialUpdate Estradas, Lorraine J. CEO 3232545291-3201Estradas, Lorraine J. CEO Arroyo Vista Family Health Center 3232545291-320111/6/2017 3:35 PM
AddressesMain AddressInsert   6000 N Figueroa St Los Angeles, CA 90042-42322/13/2017 11:36 AM
ContactsAuthorizing OfficialInsert  Estradas, Lorraine J. CEO 3232545291-32012/13/2017 11:36 AM
ContactsPrimary ContactUpdate PHAM, THUY QUANG MEDICAL DIRECTOR 3232545221-222Pham, Thuy CMO 3232545291-32102/13/2017 11:36 AM
DetailsLast Recertification DateUpdate 2/26/2016 12:00:00 AM2/13/2017 12:00:00 AM2/13/2017 11:36 AM
DetailsLast Recertification DateUpdate 2/12/2015 12:00:00 AM2/26/2016 12:00:00 AM2/26/2016 3:46 PM
DetailsLast Recertification DateUpdate 3/14/2014 12:00:00 AM2/12/2015 12:00:00 AM2/12/2015 12:50 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/14/2014 12:00:00 AM3/14/2014 6:59 AM
DetailsEntity NameUpdate ARROYO VISTA FAMILY HEALTH CENTERARROYO VISTA FAMILY HEALTH FOUNDATION3/14/2014 6:59 AM
DetailsEntity SubnameUpdate HIGHLAND PARK CLINICARROYO VISTA FAMILY HEALTH CENTER ~ Highland Park3/14/2014 6:59 AM
ContactsPrimary ContactInsert  PHAM, THUY QUANG MEDICAL DIRECTOR 3232545221-2222/14/2013 1:14 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/14/2013 1:14 PM
DetailsLast Recertification DateInsert   5/28/2004 12:29 PM
DetailsGrant NumberInsert  H80CS003745/28/2004 12:29 PM
Details340B IDInsert  CH0931605/28/2004 12:29 PM
DetailsIs Authorizing Official EHB DataInsert   5/28/2004 12:29 PM
DatesLast Date That 340B Drugs PurchasedInsert   5/28/2004 12:29 PM
DetailsMedicare Provider NumberInsert   5/28/2004 12:29 PM
DetailsEntity NameInsert  ARROYO VISTA FAMILY HEALTH CENTER5/28/2004 12:29 PM
DetailsProgram CodeInsert  CH5/28/2004 12:29 PM
DetailsEntity SubnameInsert  HIGHLAND PARK CLINIC5/28/2004 12:29 PM
DatesParticipating Approval DateInsert  5/28/2004 12:29:23 PM5/28/2004 12:29 PM
DetailsStateInsert  Active5/28/2004 12:29 PM
DatesRegistration DateInsert  7/1/1998 12:00:00 AM5/28/2004 12:29 PM
DatesSigned By DateInsert   5/28/2004 12:29 PM
DatesStart DateInsert  7/1/1998 12:00:00 AM5/28/2004 12:29 PM
TerminationsTermination CommentsInsert   5/28/2004 12:29 PM
TerminationsTermination DateInsert   5/28/2004 12:29 PM
TerminationsTermination Effective DateInsert   5/28/2004 12:29 PM
TerminationsTermination ReasonInsert   5/28/2004 12:29 PM
DetailsComments PublicInsert  UPDATED CONTACT INFO5/28/2004 12:29 PM