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YORK DISCOUNT PHARMACY INC.
CHC10607-00 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
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Covered Entity Details
Entity Name
COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Comprehensive Community Health Centers, Inc-Glendale
Type
HRSA-Funded Health Center
340B ID
CHC10607-00
Entity Address
801 So Chevy Chase # 250
Glendale, CA 91205-4431
Grant Number
H80CS10607
Participating Start Date
1/1/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
YORK DISCOUNT PHARMACY INC.
Pharmacy Address
5821 YORK BLVD
LOS ANGELES, CA 90042
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
FLORA POLADYAN, COO
(818) 630-6106
Contract Pharmacy Representative
York Discount Pharmacy Inc.
Kristina Kross, PHARMACIST
(323) 302-8090
Signed By Date
10/17/2016
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