340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDEX PHARMACIES
CHC10607-00 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
Print
Covered Entity Details
Entity Name
COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Comprehensive Community Health Centers, Inc-Glendale
Type
HRSA-Funded Health Center
340B ID
CHC10607-00
Entity Address
801 So Chevy Chase # 250
Glendale, CA 91205-4431
Grant Number
H80CS10607
Participating Start Date
1/1/2005
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session