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COMPTON COMMUNITY PHARMACY
CHC28991-00 The ROADS Foundation
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Covered Entity Details
Entity Name
The ROADS Foundation
Subdivision Name
ROADS Community Clinic - Compton
Type
HRSA-Funded Health Center
340B ID
CHC28991-00
Entity Address
121 S LONG BEACH BLVD
COMPTON, CA 90221-3423
Grant Number
H80CS28991
Participating Start Date
1/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
COMPTON COMMUNITY PHARMACY
Pharmacy Address
555 W COMPTON BLVD STE 102
COMPTON, CA 90220-3087
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee D. Yoseloff, Chief Executive Officer
(310) 627-5800
Contract Pharmacy Representative
BKNC Pharmacies Inc. DBA Compton Community Pharmacy
Bharat Gandhi, Vice President
(310) 537-2337
Signed By Date
10/14/2020
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