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ROYALTY PHARMACY
CHC10608-00 CENTRAL CITY COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Subdivision Name
Central City Community Health Center, Inc. - Anaheim
Type
HRSA-Funded Health Center
340B ID
CHC10608-00
Entity Address
2237 W.Ball Road
Anaheim, CA 92804-5314
Grant Number
H80CS10608
Participating Start Date
7/1/2024
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
ROYALTY PHARMACY
Pharmacy Address
ROYALTY PHARMACY
1902 ROYALTY DR. STE 110
POMONA, CA 91767-3036
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gerardo Ramirez, Controller
(323) 694-2715
Contract Pharmacy Representative
Royalty Pharmacy
Brian Garner, Owner
(909) 620-8008
Signed By Date
4/15/2019
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