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AVITA PHARMACY 1009
STD90814 One in Long Beach Inc
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Covered Entity Details
Entity Name
One in Long Beach Inc
Subdivision Name
The LGBTQ Center Long Beach
Type
Sexually Transmitted Diseases
340B ID
STD90814
Entity Address
2017 East 4th Street
Long Beach, CA 90814-1001
Grant Number
1H25PS005127
Participating Start Date
10/1/2017
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1009
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
17660 LAKEWOOD BLVD
BELLFLOWER, CA 90706-6410
Pharmacy Comments
Contract Details
Approval Date
10/16/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carlos Torres, Executive Director
(562) 434-4455 Ext: 340
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/16/2021
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