Contract Pharmacy Details

DAYLIGHT PHARMACY INC
CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Subdivision Name

Southern California Medical Center (EM)

Type

HRSA-Funded Health Center

340B ID

CHC28368-00

Entity Address

12100 VALLEY BLVD
EL MONTE, CA 91732-3100

Grant Number

H80CS28368

Participating Start Date

10/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

DAYLIGHT PHARMACY INC

Pharmacy Address

DBA DAYLIGHT PHARMACY
14841 BURBANK BLVD
SHERMAN OAKS, CA 91411

Pharmacy Comments

Contract Details

Approval Date

4/4/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/5/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Abbas Hosseini, System Manager
(818) 421-1035

Contract Pharmacy Representative

Daylight Pharmacy
Sholeh Yousefian, Pharmacy Owner
(818) 600-0700

Signed By Date

4/4/2022

340B Drug Pricing Program Database