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US BIOSERVICES
CHC266170-06 Via Care Community Health Center, Inc.
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Covered Entity Details
Entity Name
Via Care Community Health Center, Inc.
Subdivision Name
Via Care ELAC Health Center
Type
HRSA-Funded Health Center
340B ID
CHC266170-06
Entity Address
1301 Avenida Cesar Chavez Ste F5-302
Monterey Park, CA 91754-6001
Grant Number
H80CS26617
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
US BIOSERVICES
Pharmacy Address
US BIOSERVICE CORPORATION
5025 PLANO PARKWAY
STE 100
CARROLLTON, TX 75010
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nina Falcetti, Director of HR
(323) 268-9191 Ext: 1091
Contract Pharmacy Representative
US Bioservices
Kevin James, VP of Payer Strategy US
(469) 365-7555
Signed By Date
10/7/2019
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