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RX E-FILL SOLUTIONS
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
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
10/12/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Miriam Vega, CEO
(323) 406-5799
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
10/12/2016
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