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ACCREDO HEALTH GROUP, INC.
CHC12858-06 FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
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Covered Entity Details
Entity Name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Subdivision Name
Fedde School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12858-06
Entity Address
21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
Grant Number
H80CS12858
Participating Start Date
4/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Raquel R. Villa, Chief Executive Officer
(562) 776-5014
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
4/15/2024
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