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USC MEDICAL PLAZA PHARMACY
DSH050238 USC ARCADIA HOSPITAL
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Covered Entity Details
Entity Name
USC ARCADIA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050238
Entity Address
300 WEST HUNTINGTON DRIVE
ARCADIA, CA 91007
Medicare Provider Number
050238
Participating Start Date
10/1/2006
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
USC MEDICAL PLAZA PHARMACY
Pharmacy Address
1510 SAN PABLO ST STE 144
LOS ANGELES, CA 90033-5394
Pharmacy Comments
Contract Details
Approval Date
4/13/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ikenna Mmeje, Chief Executive Officer
(626) 574-3600
Contract Pharmacy Representative
Keck Medicine of USC
Raffi Svadjian, Executive Director USC Pharmacies
(626) 457-6605
Signed By Date
4/13/2025
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