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EDDIE'S PHARMACY
STD90814 One in Long Beach Inc
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Covered Entity Details
Entity Name
One in Long Beach Inc
Subdivision Name
The LGBTQ Center of Long Beach
Type
Sexually Transmitted Diseases
340B ID
STD90814
Entity Address
2017 East 4th Street
Long Beach, CA 90814-1001
Grant Number
1H25PS005127
Participating Start Date
10/1/2017
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
EDDIE'S PHARMACY
Pharmacy Address
8408 BEVERLY BLVD
LOS ANGELES, CA 90048
Pharmacy Comments
Contract Details
Approval Date
1/2/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ellie Perez, Executive Director
(562) 434-4455 Ext: 240
Contract Pharmacy Representative
JCH Pharmacy LA, Inc.
Joshua Thorburn, Owner
(310) 358-2400
Signed By Date
1/2/2025
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