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STARBRIGHT LABS INC
FQHCLA439 PRECISION HEALTH CENTER
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Covered Entity Details
Entity Name
PRECISION HEALTH CENTER
Subdivision Name
Precision Health Center - Hill Street
Type
Health Center Program Look-Alike
340B ID
FQHCLA439
Entity Address
709 N Hill St Ste 18
Los Angeles, CA 90012-2352
Grant Number
LALCS47395
Participating Start Date
1/1/2023
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
STARBRIGHT LABS INC
Pharmacy Address
986 PHARMACY #8005
2670 E GAGE AVE STE 10A
HUNTINGTON PARK, CA 90255
Pharmacy Comments
Contract Details
Approval Date
11/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Jimmy Ung, CEO
(213) 687-0888
Contract Pharmacy Representative
Starbright Labs Inc.
Justin Kim, Manager
(323) 749-6500
Signed By Date
10/4/2022
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