Contract Pharmacy Details

GLOVE WORK INC
CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Subdivision Name

Southern California Medical Center (EM)

Type

HRSA-Funded Health Center

340B ID

CHC28368-00

Entity Address

12100 VALLEY BLVD
EL MONTE, CA 91732-3100

Grant Number

H80CS28368

Participating Start Date

10/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

GLOVE WORK INC

Pharmacy Address

DBA: CORBIN PHARMACY
19664 VENTURA BLVD
TARZANA, CA 91356

Pharmacy Comments

Contract Details

Approval Date

10/1/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/5/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Abbas Hosseini, System Manager
(818) 421-1035

Contract Pharmacy Representative

Corbin Pharmacy
Saeed Radparvar, N/A
(818) 578-5078

Signed By Date

10/1/2020

340B Drug Pricing Program Database