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ALBERTSONS LLC
CH093080 UNIVERSITY OF CALIFORNIA, IRVINE
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA, IRVINE
Subdivision Name
UC IRVINE FAMILY HEALTH CENTER - SANTA ANA
Type
HRSA-Funded Health Center
340B ID
CH093080
Entity Address
800 N Main St
Santa Ana, CA 92701-3576
Grant Number
H80CS00461
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY # 0597
4541 CAMPUS DR
IRVINE, CA 92612
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Gannotta, Chief Executive Officer
(714) 456-7830
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/11/2018
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