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CCRX INC
CHC33794-03 HEALTH ACCESS FOR ALL INC.
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Covered Entity Details
Entity Name
HEALTH ACCESS FOR ALL INC.
Subdivision Name
Angeles Community Health Center - Huntington Park II
Type
HRSA-Funded Health Center
340B ID
CHC33794-03
Entity Address
6120 Seville Ave
Huntington Park, CA 90255-2911
Grant Number
H80CS33794
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CCRX INC
Pharmacy Address
DBA CCRX
1919 W 7TH ST UNIT M
LOS ANGELES, CA 90057-4103
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
7/20/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peyman Banooni, CEO
(213) 228-3808
Contract Pharmacy Representative
CCRX INC
Soheil Zafarmehr, Owner
(213) 674-7577
Signed By Date
7/15/2020
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