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RALPHS GROCERY CO.
RWI91103 City of Pasadena
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Covered Entity Details
Entity Name
City of Pasadena
Subdivision Name
PUBLIC HEALTH DEPARTMENT
Type
Ryan White Part A
340B ID
RWI91103
Entity Address
1845 N. FAIR OAKS AVE
PASADENA, CA 91103
Grant Number
LOS ANGELES EMA
Participating Start Date
4/1/2008
Last Recertification Date
1/26/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO.
Pharmacy Address
DBA RALPHS #096
160 NORTH LAKE AVE
PASADENA, CA 91101
Pharmacy Comments
Contract Details
Approval Date
10/22/2012
Contract Begin Date
10/22/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael J. Beck, City Manager
(626) 744-4333
Contract Pharmacy Representative
Rebecca Cupp, Pharmacy Merchandiser
(310) 951-9459
Signed By Date
9/20/2012
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