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LA PHARMACY LLC
CH091940 MENDOCINO COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
Hillside Health Center
Type
HRSA-Funded Health Center
340B ID
CH091940
Entity Address
333 Laws Ave
Ukiah, CA 95482-6540
Grant Number
H80CS00628
Participating Start Date
7/1/1995
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
LA PHARMACY LLC
Pharmacy Address
1048 S GARFIELD AVE
STE 101
ALHAMBRA, CA 91801
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/24/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott McFarland, CEO
(707) 472-4517
Contract Pharmacy Representative
Truepill
Thuy Nguyen, Pharmacist in Charge
(626) 281-7870
Signed By Date
7/8/2020
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