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BELLA VIDA PHARMACY INC
CHC00850-00 WATTS HEALTHCARE CORPORATION
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Covered Entity Details
Entity Name
WATTS HEALTHCARE CORPORATION
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC00850-00
Entity Address
10300 COMPTON AVENUE
LOS ANGELES, CA 90002
Grant Number
H80CS00850
Participating Start Date
1/1/2009
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
BELLA VIDA PHARMACY INC
Pharmacy Address
DBA BELLA VIDA PHARMACY
1037 W CARSON ST
TORRANCE, CA 90502
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/24/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Olusheyi Lawoyin, Interim President and CEO
(323) 564-4331 Ext: 3156
Contract Pharmacy Representative
Bella Vida Pharmacy, Inc.
Denise Pham, Owner, Pharmacist-in-charge
(310) 320-3333
Signed By Date
4/12/2021
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