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CAL OAKS PHARMACY
DSH050438 HUNTINGTON HOSPITAL
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Covered Entity Details
Entity Name
HUNTINGTON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050438
Entity Address
100 W. California Blvd
Pasadena, CA 91105
Medicare Provider Number
050438
Participating Start Date
7/1/2019
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
CAL OAKS PHARMACY
Pharmacy Address
55 E CALIFORNIA BLVD STE 103
PASADENA, CA 91105-3914
Pharmacy Comments
Contract Details
Approval Date
7/20/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Mohr, Senior Vice President & Chief Financial Officer
(626) 397-5555
Contract Pharmacy Representative
Cal Oaks Pharmacy
Minah Kim, Owner
(626) 795-5956
Signed By Date
7/20/2021
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