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CHC26621-01 LOS ANGELES LGBT CENTER (Active)
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Main Details
Name
LOS ANGELES LGBT CENTER
Subdivision Name
Los Angeles LGBT Center - Weho
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017668
340B ID
CHC26621-01
Grant Number
H80CS26621
Additional Details
Current Program Status
Active
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Los Angeles LGBT Center
Robyn Goldman, Chief Financial Officer
(323) 993-8948
Primary Contact
Los Angeles LGBT Center
Nicole Thibeau, Director of Pharmacy
(323) 993-7445
Addresses
Street Address
8745 Santa Monica Boulevard, 2nd Floor
West Hollywood, CA 90069-4507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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