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FARMACIA BRISTOL
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BEHAVIORAL HEALTH SERVICES INC
Subdivision Name
Behavioral Health Services - Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29048-00
Entity Address
2501 W. El Segundo Blvd. Suite B
Hawthorne, CA 90250
Grant Number
H80CS29048
Participating Start Date
10/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
FARMACIA BRISTOL
Pharmacy Address
1155 W. CENTRAL AVE.
STE. 112
SANTA ANA, CA 92707
Pharmacy Comments
Contract Details
Approval Date
1/17/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
Health Living Pharmacy
Sheetal Amin, Owner
(714) 692-3261
Signed By Date
1/17/2021
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