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POLARIS SPECIALTY RX
APLA HEALTH & WELLNESS
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Covered Entity Details
Entity Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA HEALTH - OLYMPIC #310
Type
Sexually Transmitted Diseases
340B ID
Entity Address
5901 W. OLYMPIC BLVD.
STE 310
LOS ANGELES, CA 90036
Grant Number
NU62PS924569
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
POLARIS SPECIALTY RX
Pharmacy Address
1010 E ARROW HWY
COVINA, CA 91724
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Contract Pharmacy Representative
Polaris Pharmacy Services
Gina Hunt, Director of Regulatory & Finance Operations
(800) 589-9747 Ext: 7720
Signed By Date
4/15/2025
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