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ABC PHARMACY
FQHCLA397B Health Service Alliance
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Covered Entity Details
Entity Name
Health Service Alliance
Subdivision Name
Health Service Alliance
Type
Health Center Program Look-Alike
340B ID
FQHCLA397B
Entity Address
9804 Foothill Blvd
Rancho Cucamonga, CA 91730-3616
Grant Number
LALCS33333
Participating Start Date
10/1/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ABC PHARMACY
Pharmacy Address
954 W FOOTHILL BLVD STE 6D
UPLAND, CA 91786-3782
Pharmacy Comments
Contract Details
Approval Date
10/4/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Cox, Chief Executive Officer
(909) 784-6117
Contract Pharmacy Representative
ABC Pharmacy
Jonathan Chan, Pharmacy Director
(909) 285-1118
Signed By Date
10/4/2021
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