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MISSION PLAZA PHARMACY 2
FQHCLA347 FAMILIES TOGETHER OF ORANGE COUNTY
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Covered Entity Details
Entity Name
FAMILIES TOGETHER OF ORANGE COUNTY
Subdivision Name
Families Together of Orange County
Type
Health Center Program Look-Alike
340B ID
FQHCLA347
Entity Address
661 W. 1st St., Ste. G
Tustin, CA 92780
Grant Number
LALCS00186
Participating Start Date
4/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
MISSION PLAZA PHARMACY 2
Pharmacy Address
4631 TELLER AVE
STE 110
NEWPORT BEACH, CA 92660
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alexander Rossel, CEO
(714) 665-9890
Contract Pharmacy Representative
AHCS-Mental Health
Kinjal Patel, Director of Pharmacy
(626) 794-1124
Signed By Date
1/15/2021
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