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VINCENT LY PHARMACY INCORPORATION
CH092887E CHINATOWN SERVICE CENTER
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Covered Entity Details
Entity Name
CHINATOWN SERVICE CENTER
Subdivision Name
CSC - Community Health Center Alhambra
Type
HRSA-Funded Health Center
340B ID
CH092887E
Entity Address
726 E. Main Street STE B
Alhambra, CA 91801-4082
Grant Number
H80CS08735
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
VINCENT LY PHARMACY INCORPORATION
Pharmacy Address
DBA 986 PHARMACY
701 S ATLANTIC BLVD STE 168
MONTEREY PARK, CA 91754-3866
Pharmacy Comments
Contract Details
Approval Date
2/5/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter Ng, CEO
(213) 808-1701
Contract Pharmacy Representative
986 Pharmacy
Vincent Ly, Pharmacist
(626) 672-9220
Signed By Date
2/5/2025
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