340B Drug Pricing Program Database
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CHC11402-13 NORTHEAST COMMUNITY CLINIC, INC (Active)
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Main Details
Name
NORTHEAST COMMUNITY CLINIC, INC
Subdivision Name
Northeast Community Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027707
340B ID
CHC11402-13
Grant Number
H80CS12869
Additional Details
Current Program Status
Active
Registration Date
6/12/2019
Participating Start Date
6/13/2019
Participating Approval Date
6/13/2019
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Primary Contact
Northeast Community Clinic
Emely Orozco, Pharmacy Program Administrator
(626) 457-5209
Addresses
Street Address
4455 W 117th St Ste 200
Hawthorne, CA 90250-2240
Billing Address
Northeast Community Clinic
2550 W. Main St.
Suite 301
Alhambra, CA 91801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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