340B Drug Pricing Program Database

Name

MISSION CITY COMMUNITY NETWORK INC

Subdivision Name

Mission City Community Network-Orange Grove

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-012016

340B ID

FQ114E

Grant Number

LALCS00029

Current Program Status

Terminated

Registration Date

1/3/2013

Participating Start Date

4/1/2013

Participating Approval Date

2/27/2013

Last Recertification Date

2/17/2017

Termination Date
Termination Reason

4/1/2017
DSH percentage below statutory minimum

Authorizing Official

Mission City Community Network
Nik Gupta, CEO
(818) 895-3100

Primary Contact

IRIS BAO-NGOC NGUYEN, PHARMACIST
(818) 895-3100 Ext: 650

Street Address

1818 N Orange Grove Ave STE 205
Pomona, CA 91767-3028

Billing Address

Mission City Community Network, Inc.
15206 Parthenia Street
North Hills, CA 91343-5305