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MARVIN LIEBLEIN, INC
HV90814 CHW-CARE PROGRAM AND CLINICS
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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
MARVIN LIEBLEIN, INC
Pharmacy Address
DBA FAMILY PHARMACY
1400 ATLANTIC AVE
LONG BEACH, CA 90813
Pharmacy Comments
Contract Details
Approval Date
4/16/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/9/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Miguel Gutierrez, Sr. Clinic Operations Administrator
(562) 491-9267 Ext: 3267
Contract Pharmacy Representative
Marvin Lieblein, Owner
(562) 591-4417
Signed By Date
4/16/2015
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