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ADVANCECARE WEST HOLLYWOOD INC
FP92614 AIDS Services Foundation Orange County dba Radiant Health Centers
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Covered Entity Details
Entity Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP92614
Entity Address
17982 Sky Park Circle
Suite J
Irvine, CA 92614-6482
Grant Number
FPHPA006537
Participating Start Date
1/1/2019
Last Recertification Date
5/15/2024
Pharmacy Details
Pharmacy Name
ADVANCECARE WEST HOLLYWOOD INC
Pharmacy Address
MISTR
8700 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069
Pharmacy Comments
Contract Details
Approval Date
6/1/2023
Contract Begin Date
6/2/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Philip Yaeger, Executive Director/CEO
(949) 809-5705
Contract Pharmacy Representative
AdvanceCare Pharmacy
Kyle Bernier, Director of Operations
(508) 971-8380
Signed By Date
6/1/2023
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