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VERMONT V O PHARMACY
CHC08241-24 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- Olympic
Type
HRSA-Funded Health Center
340B ID
CHC08241-24
Entity Address
2655 West Olympic Blvd.
Los Angeles, CA 90006
Grant Number
H80CS08241
Participating Start Date
1/1/2018
Last Recertification Date
2/1/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
VERMONT V O PHARMACY
Pharmacy Address
2655 W OLYMPIC BL #104
LOS ANGELES, CA 90006-2800
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
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
Vermont V.O. Pharmacy
Edward Lee, Pharmacist
(213) 480-1503
Signed By Date
1/14/2019
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