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OLYMPIA PLAZA PHARMACY INC
RWI908131C APLA HEALTH & WELLNESS
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Covered Entity Details
Entity Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA HEALTH - OLYMPIC #310
Type
Ryan White Part A
340B ID
RWI908131C
Entity Address
5901 W. OLYMPIC BLVD.
STE 310
LOS ANGELES, CA 90036
Grant Number
H89HA00016
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
OLYMPIA PLAZA PHARMACY INC
Pharmacy Address
5901 W. OLYMPIC BLVD
STE 103
LOS ANGELES, CA 90036-4659
Pharmacy Comments
Contract Details
Approval Date
5/12/2025
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
Olympia Plaza Pharmacy Inc
Emil Borokhovich, Manager
(323) 937-2590
Signed By Date
4/15/2025
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