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WHITE MEM MED PLAZA PHARMACY
FQHCLA82 White Memorial Community Health Center, A California Nonprofit Public Benef
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Covered Entity Details
Entity Name
White Memorial Community Health Center, A California Nonprofit Public Benef
Subdivision Name
WMCHC-Medical and Mental Health
Type
Health Center Program Look-Alike
340B ID
FQHCLA82
Entity Address
1828 E. Cesar E. Chavez Ave, Suite 5000
Los Angeles, CA 90033-2487
Grant Number
LALCS31625
Participating Start Date
1/1/2019
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WHITE MEM MED PLAZA PHARMACY
Pharmacy Address
1701 CESAR CHAVEZ AVE SUITE 109
LOS ANGELES, CA 90033
Pharmacy Comments
Contract Details
Approval Date
11/6/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Grace Floutsis, Chief Medical Officer
(323) 987-1222
Contract Pharmacy Representative
Adventist Health White memorial
Paresh Patel, Owner
(323) 224-6304
Signed By Date
10/15/2018
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