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WAL-MART PHARMACY 10-5605
CHC28984-00 CENTER FOR FAMILY HEALTH & EDUCATION, INC.
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH & EDUCATION, INC.
Subdivision Name
Center for Family Health and Education, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28984-00
Entity Address
8727 Van Nuys Blvd STE 102
Panorama City, CA 91402-2400
Grant Number
H80CS28984
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5605
Pharmacy Address
14530 NORDHOFF ST.
PANORAMA CITY, CA 91402
Pharmacy Comments
Contract Details
Approval Date
10/19/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/19/2022
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