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LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
CHC30722-00 UNIVERSAL COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
UNIVERSAL COMMUNITY HEALTH CENTER
Subdivision Name
Universal Community Health Center- Washington
Type
HRSA-Funded Health Center
340B ID
CHC30722-00
Entity Address
1005 E. Washington Blvd.
Los Angeles, CA 90021
Grant Number
H80CS30722
Participating Start Date
5/16/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
Pharmacy Address
313 N FIGUEROA STREET
SUITE 1225
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
5/16/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/29/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Edgar Alexander Chavez, CEO
(323) 485-0467
Contract Pharmacy Representative
Universal Community Health Center
Alfredo 3233135588 Reynoso, Chief Operations Officer
(323) 233-3100 Ext: 144
Signed By Date
5/16/2019
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