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DUOMO 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
DUOMO PHARMACY INC
Pharmacy Address
12157 VICTORY BLVD # A
NORTH HOLLYWOOD, CA 91606-3204
Pharmacy Comments
Contract Details
Approval Date
7/11/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
FLORA POLADYAN, COO
(818) 630-6106
Contract Pharmacy Representative
Duomo Pharmacy Inc
SERGY SAROYAN, PHARMACIST
(818) 980-4999
Signed By Date
7/11/2017
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