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LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
CHC266170-07 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 Whittier Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC266170-07
Entity Address
5017 Whittier Blvd
Los Angeles, CA 90022-3116
Grant Number
H80CS26617
Participating Start Date
1/1/2020
Last Recertification Date
2/13/2025
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
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nina Falcetti, Director of HR
(323) 268-9191 Ext: 1091
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
10/9/2019
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