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ACARIAHEALTH PHARMACY #13, INC
CHC24115-00 SABAN FREE CLINIC, THE
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Covered Entity Details
Entity Name
SABAN FREE CLINIC, THE
Subdivision Name
Beverly Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24115-00
Entity Address
8405 Beverly Blvd.
Los Angeles, CA 90048-3401
Grant Number
H80CS24115
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ACARIAHEALTH PHARMACY #13, INC
Pharmacy Address
3302 GARFIELD AVE.
COMMERCE, CA 90040-3102
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Muriel Nouwezem, CEO
(323) 337-1707
Contract Pharmacy Representative
Acaria Health
Philip Gofman, Regional VP
(917) 312-5263
Signed By Date
10/11/2021
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