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RALPHS GROCERY CO.
CHC08241-00 MISSION CITY COMMUNITY NETWORK
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Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC08241-00
Entity Address
15206 PARTHENIA STREET
NORTH HILLS, CA 91343
Grant Number
H80CS08241
Participating Start Date
7/1/2000
Last Recertification Date
2/10/2025
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
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
7/1/2022
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