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LUCKY HEALTH INC
CH0928870 CHINATOWN SERVICE CENTER
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Covered Entity Details
Entity Name
CHINATOWN SERVICE CENTER
Subdivision Name
CHINATOWN SERVICE CENTER - COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0928870
Entity Address
767 N. Hill Street
Suite 200
Los Angeles, CA 90012-2343
Grant Number
H80CS08735
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LUCKY HEALTH INC
Pharmacy Address
DBA LUCKY PHARMACY
1108 S BALDWIN AVE
STORE NUMBER 8&9
ARCADIA, CA 91007-7508
Pharmacy Comments
Contract Details
Approval Date
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Peter Ng, CEO
(213) 808-1701
Contract Pharmacy Representative
Lucky Pharmacy
Shui Fong Yan, Lucky Pharmacy
(626) 445-1888
Signed By Date
1/12/2021
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