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ST MARY PHARMACY & MEDICAL SUPPLIES INC
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
ST MARY PHARMACY & MEDICAL SUPPLIES INC
Pharmacy Address
ST MARY PHARMACY
505 W WILLOW ST
LONG BEACH, CA 90806
Pharmacy Comments
Contract Details
Approval Date
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110
Contract Pharmacy Representative
ST MARY PHARMACY
Hany Georgy, Pharmacist
(562) 492-9484
Signed By Date
7/6/2023
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