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HOMECARE PHARMACY
CH098820 CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
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Covered Entity Details
Entity Name
CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
Subdivision Name
The S. Mark Taper Foundation Children's Clinic Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH098820
Entity Address
455 EAST COLUMBIA ST., STE 201
LONG BEACH, CA 90806-1620
Grant Number
H80CS00264
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HOMECARE PHARMACY
Pharmacy Address
450 E. Spring Street
Suite 11
Long Beach, CA 90806
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elisa Nicholas, Chief Executive Officer
(562) 264-3551
Contract Pharmacy Representative
Memorialcare Long Beach Medical Center
Jane Hodding, Executive Director of Pharmacy
(562) 933-0282
Signed By Date
1/14/2014
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