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MCCARTHY PHARMACY INC
CH092440 CLINIC INC, THE
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Covered Entity Details
Entity Name
CLINIC INC, THE
Subdivision Name
T.H.E. CLINIC, INC.
Type
HRSA-Funded Health Center
340B ID
CH092440
Entity Address
3834 S. WESTERN AVE
LOS ANGELES, CA 90062-1104
Grant Number
H80CS00755
Participating Start Date
7/1/2003
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MCCARTHY PHARMACY INC
Pharmacy Address
MCCARTHY DRUGS
12025 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Pharmacy Comments
Contract Details
Approval Date
9/5/2012
Contract Begin Date
9/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
RISE PHILLIPS, CHIEF EXECUTIVE OFFICER
(323) 730-1920 Ext: 3007
Contract Pharmacy Representative
Mordechai Nikfar, Owner/Pharmacist in Charge
(310) 452-1105
Signed By Date
6/26/2012
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