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BRAVO PHARMACY
CHC10609-00 UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC.
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Covered Entity Details
Entity Name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC.
Subdivision Name
UMMA Community Clinic
Type
HRSA-Funded Health Center
340B ID
CHC10609-00
Entity Address
711 W.Florence Ave
Los Angeles, CA 90044-6105
Grant Number
H80CS10609
Participating Start Date
4/1/2006
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
BRAVO PHARMACY
Pharmacy Address
7316 S. COMPTON AVE
LOS ANGELES, CA 90001-2532
Pharmacy Comments
Contract Details
Approval Date
5/15/2012
Contract Begin Date
5/15/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
YASSER AMAN, PRESIDENT/CEO
(323) 967-0375 Ext: 1404
Contract Pharmacy Representative
SANG KIM, CEO
(323) 586-9828
Signed By Date
5/3/2012
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