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SOUTH GATE PHARMACY INC
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BEHAVIORAL HEALTH SERVICES INC
Subdivision Name
Behavioral Health Services - Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29048-00
Entity Address
2501 W. El Segundo Blvd. Suite B
Hawthorne, CA 90250
Grant Number
H80CS29048
Participating Start Date
10/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SOUTH GATE PHARMACY INC
Pharmacy Address
8200 LONG BEACH BLVD UNIT D-2
SOUTH GATE, CA 90280
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
South Gate Pharmacy, Inc
Paresh Patel, Owner
(678) 427-4757
Signed By Date
1/17/2023
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