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CH0921340 Eisner Health (Active)
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Main Details
Name
Eisner Health
Subdivision Name
Eisner Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004005
340B ID
CH0921340
Grant Number
H80CS04223
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/7/2005
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Eisner Health
Monica Gutierrez-McCarthy, CEO
(213) 342-3325
Primary Contact
Eisner Health
Nicole Marie Tavares-Kuhn, Director, Pharmacy Services
(213) 588-0467
Addresses
Street Address
1530 S Olive St
Los Angeles, CA 90015
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/21/09 CONTR PHARM TERM @ REQUEST OF ENTITY
01/24/2011
April 2025
April 2025
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