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RALPHS GROCERY CO.
CHC26620-04 KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
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Covered Entity Details
Entity Name
KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Subdivision Name
Kheir Wilshire Clinic Suite 100
Type
HRSA-Funded Health Center
340B ID
CHC26620-04
Entity Address
3255 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1405
Grant Number
H80CS26620
Participating Start Date
7/1/2022
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO.
Pharmacy Address
DBA RALPHS #016
670 S. WESTERN AVE.
LOS ANGELES, CA 90005
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erin Pak, CEO
(213) 427-4000 Ext: 107
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
4/13/2022
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