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BIG 1 PHARMACY LA
CH09316D ARROYO VISTA FAMILY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
ARROYO VISTA FAMILY HEALTH FOUNDATION
Subdivision Name
ARROYO VISTA FAMILY HEATLH CENTER ~ Loma Dr.
Type
HRSA-Funded Health Center
340B ID
CH09316D
Entity Address
303 SOUTH LOMA DRIVE STE 202
LOS ANGELES, CA 90017-1103
Grant Number
H80CS00374
Participating Start Date
7/1/2009
Last Recertification Date
2/16/2018
Entity Termination Date
1/1/2019
Pharmacy Details
Pharmacy Name
BIG 1 PHARMACY LA
Pharmacy Address
656 N BROADWAY
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
10/10/2009
Contract Begin Date
10/10/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Thuy Pham, CMO
(323) 254-5291 Ext: 3210
Contract Pharmacy Representative
Signed By Date
9/24/2009
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