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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CH09020A SOUTH CENTRAL FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09020A
Entity Address
4425 S. CENTRAL AVE.
LOS ANGELES, CA 90011-3629
Grant Number
H80CS00265
Participating Start Date
7/1/2000
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard A Veloz, Chief Executive Officer
(323) 908-4245
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
1/15/2016
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