340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
QUALICARE PHARMACY SERVICES
HV90008 T.H.E. CLINIC INC.
Print
Covered Entity Details
Entity Name
T.H.E. CLINIC INC.
Subdivision Name
Type
Ryan White Part C
340B ID
HV90008
Entity Address
3834 S. Western Avenue
Los Angeles, CA 90062
Grant Number
H76HA00734
Participating Start Date
7/1/2003
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
QUALICARE PHARMACY SERVICES
Pharmacy Address
3779-3779 1/2 S WESTERN AVE
LOS ANGELES, CA 90018
Pharmacy Comments
Contract Details
Approval Date
10/3/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053
Contract Pharmacy Representative
QUALICARE PHARMACY SERVICES
Jahan Shams, Pharmacist
(323) 731-4004
Signed By Date
10/3/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session