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BIXBY PHARMACY
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
BIXBY PHARMACY
Pharmacy Address
3816 WOODRUFF AVE STE 108
LONG BEACH, CA 90808-2145
Pharmacy Comments
Contract Details
Approval Date
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cynthia Howell, Acting Physician Services Bureau Manager
(562) 230-5517
Contract Pharmacy Representative
Aron Pharmacy DBA Bixby Pharmacy
Fred Saghizadeh, Owner, RPH
(562) 627-1809
Signed By Date
1/11/2023
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