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GOOD LIFE PHARMACY INC
RWI5 CITY OF LONG BEACH/DEPT HEALTH & HUMAN SERVICES
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Covered Entity Details
Entity Name
CITY OF LONG BEACH/DEPT HEALTH & HUMAN SERVICES
Subdivision Name
HIV Care Coordination
Type
Ryan White Part A
340B ID
RWI5
Entity Address
2525 GRAND AVENUE
LONG BEACH, CA 90815
Grant Number
H89HA00016
Participating Start Date
1/1/2012
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GOOD LIFE PHARMACY INC
Pharmacy Address
DBA AVIVA PHARMACY
2633 ATLANTIC AVE
LONG BEACH, CA 90806
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamela Bright, Clinical Services Officer
(562) 570-4304
Contract Pharmacy Representative
Aviva Pharmacy
Amy Nguyen, Pharmacist
(562) 888-1277
Signed By Date
10/4/2022
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