340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1012
CH09900E EAST VALLEY COMMUNITY HEALTH CENTER INC
Print
Covered Entity Details
Entity Name
EAST VALLEY COMMUNITY HEALTH CENTER INC
Subdivision Name
EVCHC - Covina Health Center
Type
HRSA-Funded Health Center
340B ID
CH09900E
Entity Address
276 W COLLEGE ST
COVINA, CA 91723-1902
Grant Number
H80CS00286
Participating Start Date
10/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1012
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
420 S GLENDORA AVE
WEST COVINA, CA 91790-3001
Pharmacy Comments
Contract Details
Approval Date
9/4/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Contract Pharmacy Representative
PharMedQuest
Meera Hasolkar, Director of Pharmacy Operations
(714) 364-4008
Signed By Date
7/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session