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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CH092134G Eisner Health at Lynwood
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Covered Entity Details
Entity Name
Eisner Health at Lynwood
Subdivision Name
Eisner Health at Lynwood
Type
HRSA-Funded Health Center
340B ID
CH092134G
Entity Address
3680 E Imperial Hwy
Ste 200
Lynwood, CA 90262
Grant Number
H80CS04223
Participating Start Date
1/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
10/6/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Warren J Brodine, Chief Executive Officer
(213) 746-1037 Ext: 3305
Contract Pharmacy Representative
LA County DHS
Rabeah Elbanna, Pharmacy Supervisor I
(213) 288-7717
Signed By Date
10/6/2020
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