Contract Pharmacy Details

RX E-FILL SOLUTIONS
CH091014F COMMUNITY HEALTH ALLIANCE OF PASADENA

Covered Entity Details

Entity Name

COMMUNITY HEALTH ALLIANCE OF PASADENA

Subdivision Name

ChapCare Dental

Type

HRSA-Funded Health Center

340B ID

CH091014F

Entity Address

1855 N. FAIR OAKS AVE STE G-100
PASADENA, CA 91103-1620

Grant Number

H80CS04220

Participating Start Date

1/1/2015

Last Recertification Date

2/2/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

RX E-FILL SOLUTIONS

Pharmacy Address

CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355

Pharmacy Comments

Contract Details

Approval Date

7/7/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

MARGARET B. MARTINEZ, Chief Executive Officer
(626) 993-1227

Contract Pharmacy Representative

DHS Pharmacy Affairs
Rabeah Elbanna, Pharmacy Supervisor I
(213) 288-7717

Signed By Date

7/7/2021

340B Drug Pricing Program Database