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986 PHARMACY #8030
FQHCLA448 CALI MED CORPORATION
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Covered Entity Details
Entity Name
CALI MED CORPORATION
Subdivision Name
Cali-Med Corporation
Type
Health Center Program Look-Alike
340B ID
FQHCLA448
Entity Address
3314 Firestone Blvd
South Gate, CA 90280-2938
Grant Number
LALCS49537
Participating Start Date
10/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
986 PHARMACY #8030
Pharmacy Address
QTK HEALTHCARE INC
9008 GARVEY AVE
STE A
ROSEMEAD, CA 91770
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Romeo V Herrera, Chief Operating Officer
(310) 407-9331
Contract Pharmacy Representative
986 Pharmacy
Quang Thai, Pharmacist
(626) 988-0106
Signed By Date
4/15/2025
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