340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MCCARTHY PHARMACY INC
HV90814 CHW-CARE PROGRAM AND CLINICS
Print
Covered Entity Details
Entity Name
CHW-CARE PROGRAM AND CLINICS
Subdivision Name
ST. MARY MEDICAL CENTER
Type
Ryan White Part C
340B ID
HV90814
Entity Address
1043 ELM AVENUE
SUITE 300
LONG BEACH, CA 90813
Grant Number
H76HA00510
Participating Start Date
4/1/2001
Last Recertification Date
2/10/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
MCCARTHY PHARMACY INC
Pharmacy Address
MCCARTHY DRUGS
12025 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Pharmacy Comments
Contract Details
Approval Date
4/1/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Ownership change
Contacts
Covered Entity Signing Official
Miguel Gutierrez, Sr. Clinic Operations Administrator
(562) 491-9267 Ext: 3267
Contract Pharmacy Representative
Mordechai Nikfar, Owner/Pharmacist in Charge
(310) 452-1105
Signed By Date
4/1/2015
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