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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CH09020B SOUTH CENTRAL FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
Wellness Center at Jefferson High School
Type
HRSA-Funded Health Center
340B ID
CH09020B
Entity Address
3410 Hooper Avenue
Los Angeles, CA 90011
Grant Number
H80CS00265
Participating Start Date
10/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard A Veloz, Chief Executive Officer
(323) 908-4245
Contract Pharmacy Representative
LA County DHS
Rabeah Elbanna, Pharmacy Supervisor I
(213) 288-7717
Signed By Date
7/3/2019
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