Pharmacy Details

MINI PHARMACY ENTERPRISES, INC. - information as of 5/20/2025 1:16:43 AM

Name
MINI PHARMACY ENTERPRISES, INC.

Address

2425 PORTER ST
LOS ANGELES, CA 90021-2510

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	FQHC638012	NORTHERN VALLEY INDIAN HEALTH	Willows Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	207 N BUTTE STREET		WILLOWS	CA	04/01/2020	02/01/2024	7/9/2024 5:21 PM
Details	FQHC638012A	NORTHERN VALLEY INDIAN HEALTH	East Avenue Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	845 W. EAST AVE		CHICO	CA	04/01/2020	02/01/2024	7/9/2024 5:24 PM
Details	FQHC638012B	NORTHERN VALLEY INDIAN HEALTH	Red Bluff Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	2500 N MAIN STREET		RED BLUFF	CA	04/01/2020	02/01/2024	7/9/2024 5:20 PM
Details	FQHC638012C	NORTHERN VALLEY INDIAN HEALTH	Court St. Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	175 W. Court Street		Woodland	CA	04/01/2020	02/01/2024	7/9/2024 5:24 PM
Details	FQHC638012D	NORTHERN VALLEY INDIAN HEALTH	Children's Health Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	1515 Springfield Dr	175	Chico	CA	04/01/2020	02/01/2024	7/9/2024 5:24 PM
Details	FQHC638012E	Northern Valley Indian Health	Women's Health and Dental Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	500 Cohasset Rd.	15	Chico	CA	04/01/2020	02/01/2024	7/9/2024 5:21 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				6/25/2019 2:08 PM
Details	Is Deleted	Insert			False	6/25/2019 2:08 PM
Addresses	Pharmacy Address	Insert			MINI PHARMACY ENTERPRISES, INC. 2425 PORTER ST LOS ANGELES, CA 90021-2510	6/25/2019 2:08 PM
Details	Name	Insert			MINI PHARMACY ENTERPRISES, INC.	6/25/2019 2:08 PM