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ABSOLUTE CARE INC
CHC28994-00 SAN FERNANDO COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
SAN FERNANDO COMMUNITY HOSPITAL
Subdivision Name
San Fernando Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28994-00
Entity Address
732 Mott Street, Suite 100
San Fernando, CA 91340-4237
Grant Number
H80CS28994
Participating Start Date
1/1/2016
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
ABSOLUTE CARE INC
Pharmacy Address
541 N MACLAY AVE STE 104
SAN FERNANDO, CA 91340-2478
Pharmacy Comments
Contract Details
Approval Date
7/14/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Audrey L Simons, CEO
(818) 963-5690 Ext: 107
Contract Pharmacy Representative
Absolute Care Inc
Robert Sarin-Gulian, Pharmacist/Owner
(818) 365-3200
Signed By Date
7/14/2018
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