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KECK HOSPITAL OF USC - ARCADIA TREATMENT
CAN050660-00 USC Norris Cancer Hospital
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Covered Entity Details
Entity Name
USC Norris Cancer Hospital
Subdivision Name
Type
Free Standing Cancer Hospital
340B ID
CAN050660-00
Entity Address
1441 Eastlake Avenue
Los Angeles, CA 90033
Medicare Provider Number
050660
Participating Start Date
1/1/2014
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
KECK HOSPITAL OF USC - ARCADIA TREATMENT
Pharmacy Address
125 W HUNTINGTON DR BLDG A
STE A300 RM 309
ARCADIA, CA 91006
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rod Hanners, Chief Operating Officer
(323) 442-8677
Contract Pharmacy Representative
Keck Medicine of USC
Evan Kam, Clinical Pharmacist/Pharmacist in Charge
(626) 574-2760
Signed By Date
7/15/2019
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