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NTEGROUS CORE CORPORATION
CHC26614-00 APLA HEALTH & WELLNESS
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Covered Entity Details
Entity Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA Health & Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26614-00
Entity Address
3743 S. La Brea Ave.
Los Angeles, CA 90016-5309
Grant Number
H80CS26614
Participating Start Date
7/1/2014
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
NTEGROUS CORE CORPORATION
Pharmacy Address
ANDERSON PHARMACY
1864 E. WASHINGTON BLVD.
STE. 105
PASADENA, CA 91104
Pharmacy Comments
Contract Details
Approval Date
8/31/2022
Contract Begin Date
8/31/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Contract Pharmacy Representative
Good Drugs
Marva Brannum, Pharmacist
(626) 482-0707
Signed By Date
8/31/2022
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