Pharmacy Details

EARTH VILLAGE PHARMACY - information as of 4/27/2025 12:13:44 AM

Name
EARTH VILLAGE PHARMACY

Address

5161 BEACH BLVD STE C
BUENA PARK, CA 90621

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	FQHCLA442	KWANG HE WON HEALTH CENTER	Kwang He Won Health Center	Health Center Program Look-Alike	815 S Ardmore Ave FL 1		Los Angeles	CA	04/01/2023		4/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		EARTH VILLAGE PHARMACY INC 5161 BEACH BLVD STE C BUENA PARK, CA 90621	EARTH VILLAGE PHARMACY 5161 BEACH BLVD STE C BUENA PARK, CA 90621	7/25/2022 10:09 AM
Details	Name	Update		EARTH VILLAGE PHARMACY INC	EARTH VILLAGE PHARMACY	7/25/2022 10:09 AM
Addresses	Pharmacy Address	Update		EARTH VILLAGE PHARMACY INC EARTH VILLAGE PHARMACY 5161 BEACH BLVD STE C BUENA PARK, CA 90621	EARTH VILLAGE PHARMACY INC 5161 BEACH BLVD STE C BUENA PARK, CA 90621	7/14/2022 9:43 AM
Addresses	Pharmacy Address	Insert			EARTH VILLAGE PHARMACY INC EARTH VILLAGE PHARMACY 5161 BEACH BLVD STE C BUENA PARK, CA 90621	8/26/2019 7:47 AM
Addresses	Pharmacy Address	Insert			EARTH VILLAGE PHARMACY INC EARTH VILLAGE PHARMACY 5161 BEACH BLVD UNIT C BUENA PARK, CA 90621	8/2/2019 7:38 AM
Details	Comments	Insert				12/31/2013 3:49 PM
Details	Is Deleted	Insert			False	12/31/2013 3:49 PM
Addresses	Pharmacy Address	Insert			EARTH VILLAGE PHARMACY INC DBA EARTH VILLAGE PHARMACY 5161 BEACH BLVD UNIT C BUENA PARK, CA 90621	12/31/2013 3:49 PM
Details	Name	Insert			EARTH VILLAGE PHARMACY INC	12/31/2013 3:49 PM