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GRACE COMMUNITY PHARMACY
CHC33646-00 KOREAN COMMUNITY SERVICES, INC.
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Covered Entity Details
Entity Name
KOREAN COMMUNITY SERVICES, INC.
Subdivision Name
Korean Community Services d.b.a. KCS Health Center - Orangethorpe
Type
HRSA-Funded Health Center
340B ID
CHC33646-00
Entity Address
7212 Orangethorpe Ave Ste 9A
Buena Park, CA 90621-4668
Grant Number
H80CS33646
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GRACE COMMUNITY PHARMACY
Pharmacy Address
4881 LA PALMA AVE
LA PALMA, CA 90623-2019
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/22/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ellen Ahn, Executive Director
(714) 527-6561
Contract Pharmacy Representative
Grace Community Pharmacy
Sun Kim, Owner
(562) 860-0586
Signed By Date
1/11/2022
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