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MEDEX PHARMACIES
CHC10607-04 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Comprehensive Community Health Centers, Inc-Sunland
Type
HRSA-Funded Health Center
340B ID
CHC10607-04
Entity Address
8316 Foothill Blvd.
Sunland, CA 91040-2850
Grant Number
H80CS10607
Participating Start Date
7/1/2017
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MEDEX PHARMACIES
Pharmacy Address
MEDEX PHARMACIES
8441 FOOTHILL BLVD
SUNLAND, CA 91040-9104
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
FLORA POLADYAN, COO
(818) 630-6106
Contract Pharmacy Representative
MEDEX PHARMACIES
KARINA KESHISHIAN, CEO/PRESIDENT
(818) 648-4477
Signed By Date
1/15/2019
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