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NATIONAL PHARMACY
CHC08241-15 MISSION CITY COMMUNITY NETWORK, INC.
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Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission City Community Network - Anaheim
Type
HRSA-Funded Health Center
340B ID
CHC08241-15
Entity Address
1661 W. Broadway Blvd.
Anaheim, CA 92802
Grant Number
H80CS08241
Participating Start Date
10/1/2016
Last Recertification Date
2/1/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
NATIONAL PHARMACY
Pharmacy Address
NATIONAL PHARMACY, INC. DBA
7420 SANTA MONICA BLVD.
WEST HOLLYWOOD, CA 90046-5605
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
National Pharmacy
MICHAEL M. IMANOEL, PRESIDENT
(323) 851-4444
Signed By Date
1/10/2019
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