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RX E-FILL SOLUTIONS
CH090200 SOUTH CENTRAL FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
South Central Family Health Center Vernon Avenue Site
Type
HRSA-Funded Health Center
340B ID
CH090200
Entity Address
1111 E. Vernon Avenue
Los Angeles, CA 90011-3718
Grant Number
H80CS00265
Participating Start Date
7/1/2000
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
7/6/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard A Veloz, Chief Executive Officer
(323) 908-4245
Contract Pharmacy Representative
DHS
Shane D'Souza, Pharmacy Services Chief II
(213) 240-7717
Signed By Date
7/6/2018
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