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CLINICA MONSIGNOR OSCAR A ROMERO
CH09941A CLINICA MSR OSCAR A ROMERO
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Covered Entity Details
Entity Name
CLINICA MSR OSCAR A ROMERO
Subdivision Name
CLINICA ROMERO-NORTHEAST
Type
HRSA-Funded Health Center
340B ID
CH09941A
Entity Address
2032 Marengo Street
Los Angeles, CA 90033-1319
Grant Number
H80CS00844
Participating Start Date
1/1/2005
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
CLINICA MONSIGNOR OSCAR A ROMERO
Pharmacy Address
123 S ALVARADO ST STE A
LOS ANGELES, CA 90057
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra Rossato, Executive Director
(213) 201-2737
Contract Pharmacy Representative
Clinica Msr. Oscar A. Romero
Jamey Corey, Pharmacy Director
(213) 989-7700 Ext: 2601
Signed By Date
10/15/2015
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