Pharmacy Details

AVITA PHARMACY 1005 - information as of 4/27/2025 12:58:07 AM

Name
AVITA PHARMACY 1005

Address

PHARMEDQUEST PHARMACY SERVICES DBA AVITA
2114 ARTESIA BLVD RM 111
REDONDO BEACH, CA 90278-3014

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	CH0910260	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SOUTH BAY FAMILY HEALTHCARE CENTER	HRSA-Funded Health Center	23430 Hawthorne Blvd		Torrance	CA	08/20/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH091026A	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SBFHC - REDONDO BEACH	HRSA-Funded Health Center	2114 ARTESIA BLVD		REDONDO BEACH	CA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH091026B	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SBFHC - GARDENA	HRSA-Funded Health Center	742 W. GARDENA BLVD		GARDENA	CA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH091026D	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SBFHC - INGLEWOOD	HRSA-Funded Health Center	1091 S. LA BREA AVE		INGLEWOOD	CA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH091026E	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SOUTH BAY HEALTHCARE CTR - OBGYN	HRSA-Funded Health Center	323 N. PRAIRIE AVE		INGLEWOOD	CA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH091026F	SOUTH BAY FAMILY HEALTH CARE CENTER INC	SBFHC-Carson	HRSA-Funded Health Center	270 East 223rd Street		Carson	CA	10/01/2020	01/01/2022	1/1/2022 12:01 AM
Details	CH094890	VENICE FAMILY CLINIC	VENICE FAMILY CLINIC	HRSA-Funded Health Center	604 Rose Ave		Venice	CA	01/01/2022	03/31/2023	4/17/2023 8:22 PM
Details	CH09489E	Venice Family Clinic	Venice Family Clinic - Carole Keen Carson Wellness Center	HRSA-Funded Health Center	270 E 223rd St		Carson	CA	12/07/2021	03/31/2023	7/26/2024 1:52 PM
Details	CH09489F	Venice Family Clinic	Venice South Bay Redondo Beach	HRSA-Funded Health Center	2114 Artesia Blvd		Redondo Beach	CA	12/07/2021	03/31/2023	7/26/2024 1:51 PM
Details	CH09489G	Venice Family Clinic	Venice Family Clinic - South Bay Family Health Care - Gardena	HRSA-Funded Health Center	742 W Gardena Blvd		Gardena	CA	12/07/2021	03/31/2023	7/26/2024 1:52 PM
Details	CH09489H	Venice Family Clinic	Venice Family Clinic - South Bay Family Health Care - OB	HRSA-Funded Health Center	323 N Prairie Ave Ste 210		Inglewood	CA	12/07/2021	03/31/2023	7/26/2024 1:51 PM
Details	CH09489J	Venice Family Clinic	Venice Family Clinic - Inglewood Health Center	HRSA-Funded Health Center	1091 S La Brea Ave		Inglewood	CA	12/07/2021	03/31/2023	7/26/2024 1:51 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1005 PHARMEDQUEST PHARMACY SERVICES DBA AVITA 2114 ARTESIA BLVD RM 111 REDONDO BEACH, CA 90278-3014	6/7/2021 5:10 PM
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1005 PHARMEDQUEST PHARMACY SERVICES 2114 ARTESIA BLVD RM 111 REDONDO BEACH, CA 90278-3014	5/5/2021 10:46 AM
Details	Name	Update		SB PMQ PHARMACY	AVITA PHARMACY 1005	5/5/2021 10:46 AM
Details	Comments	Insert				7/22/2020 11:13 AM
Details	Is Deleted	Insert			False	7/22/2020 11:13 AM
Addresses	Pharmacy Address	Insert			SB PMQ PHARMACY PHARMEDQUEST PHARMACY SERVICES 2114 ARTESIA BLVD RM 111 REDONDO BEACH, CA 90278-3014	7/22/2020 11:13 AM
Details	Name	Insert			SB PMQ PHARMACY	7/22/2020 11:13 AM