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AVITA PHARMACY 1025
CH092143AB Los Angeles Christian Health Centers
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Covered Entity Details
Entity Name
Los Angeles Christian Health Centers
Subdivision Name
Los Angeles Christian Health Centers at Joshua House Health Center
Type
HRSA-Funded Health Center
340B ID
CH092143AB
Entity Address
325 E 7th St
Los Angeles, CA 90014-2209
Grant Number
H80CS06674
Participating Start Date
7/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1025
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
3020 SATURN ST STE 100
BREA, CA 92821
Pharmacy Comments
Contract Details
Approval Date
4/2/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Contract Pharmacy Representative
PharMedQuest
Meera Hasolkar, Director of Pharmacy Operations
(714) 364-4008
Signed By Date
4/1/2021
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