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RALPHS GROCERY CO
CHC11402-12 NORTHEAST COMMUNITY CLINIC, INC
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Covered Entity Details
Entity Name
NORTHEAST COMMUNITY CLINIC, INC
Subdivision Name
Northeast Community Clinic
Type
HRSA-Funded Health Center
340B ID
CHC11402-12
Entity Address
2822 East Florence Ave
HUNTINGTON PARK, CA 90255-5749
Grant Number
H80CS12869
Participating Start Date
10/1/2018
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO
Pharmacy Address
DBA RALPHS STORE #21
1745 GARFIELD AVENUE
SOUTH PASADENA, CA 91030
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/19/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/15/2019
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