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CBC MISSION PHARMACY
CHC26624-05 POMONA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
POMONA COMMUNITY HEALTH CENTER
Subdivision Name
Holt Dental
Type
HRSA-Funded Health Center
340B ID
CHC26624-05
Entity Address
1448 E Holt Ave
Pomona, CA 91767-5822
Grant Number
H80CS26624
Participating Start Date
7/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CBC MISSION PHARMACY
Pharmacy Address
716 E MISSION BLVD
STE A
POMONA, CA 91766
Pharmacy Comments
Contract Details
Approval Date
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David M Kadar, Chief Executive Officer
(909) 630-7939
Contract Pharmacy Representative
Viha Pharma Inc dba CBC Mission Pharmacy
Maheshkumar Kaneria, Owner
(909) 865-1149
Signed By Date
1/9/2025
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