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AVS PHARMACY INC
CHC12851-10 All For Health Health For All
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Covered Entity Details
Entity Name
All For Health Health For All
Subdivision Name
All For Health-Montrose
Type
HRSA-Funded Health Center
340B ID
CHC12851-10
Entity Address
2048 Montrose Ave
Montrose, CA 91020-1605
Grant Number
H80CS12851
Participating Start Date
4/1/2021
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
AVS PHARMACY INC
Pharmacy Address
DBA AVS PHARMACY
511 1/2 E BROADWAY BLVD
GLENDALE, CA 91205
Pharmacy Comments
Contract Details
Approval Date
2/2/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ADRINEH EBRAHIMIAN, CEO
(818) 409-3020
Contract Pharmacy Representative
All For Health, Health For all, Inc.
Vardui Malumyan, Pharmacist
(818) 484-8680
Signed By Date
2/2/2021
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