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AHCS SPECIALTY CARE GARDEN GROVE, LLC DB
CHC00850-00 WATTS HEALTHCARE CORPORATION
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Covered Entity Details
Entity Name
WATTS HEALTHCARE CORPORATION
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC00850-00
Entity Address
10300 COMPTON AVENUE
LOS ANGELES, CA 90002
Grant Number
H80CS00850
Participating Start Date
1/1/2009
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
AHCS SPECIALTY CARE GARDEN GROVE, LLC DB
Pharmacy Address
BERRY & SWEENEY LTC PHARMACY
1377 N FAIR OAKS AVE STE A
PASADENA, CA 91103
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barrett Hatches, Acting CEO
(323) 564-4331
Contract Pharmacy Representative
Advantage Health
Thomas Lam, VP Compliance and Risk Management
(714) 706-9030
Signed By Date
4/10/2025
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