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WOORI PHARMACY, INC
CHC26620-02 KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
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Covered Entity Details
Entity Name
KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Subdivision Name
Kheir-Wilshire Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26620-02
Entity Address
3255 WILSHIRE BLVD
120
LOS ANGELES, CA 90010-1404
Grant Number
H80CS26620
Participating Start Date
10/1/2015
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WOORI PHARMACY, INC
Pharmacy Address
WOORI PHARMACY
266 S HARVARD BLVD STE 120
LOS ANGELES, CA 90004-4374
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Erin Pak, CEO
(213) 427-4000 Ext: 107
Contract Pharmacy Representative
Woori Pharmacy
Daniel Kim, Pharmacy Manager
(213) 384-6323
Signed By Date
7/13/2018
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