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RALPHS GROCERY CO.
CHC26620-03 KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
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Covered Entity Details
Entity Name
KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Subdivision Name
Kheir-Virgil Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26620-03
Entity Address
621 South Virgil Avenue
Suite 401
Los Angeles, CA 90005-4000
Grant Number
H80CS26620
Participating Start Date
10/1/2019
Last Recertification Date
2/3/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO.
Pharmacy Address
DBA RALPHS #016
670 S. WESTERN AVE.
LOS ANGELES, CA 90005
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Erin Pak, CEO
(213) 427-4000 Ext: 107
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/10/2020
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