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AVS PHARMACY INC
CHC12851-00 ALL FOR HEALTH HEALTH FOR ALL
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Covered Entity Details
Entity Name
ALL FOR HEALTH HEALTH FOR ALL
Subdivision Name
All for Health, Health for All
Type
HRSA-Funded Health Center
340B ID
CHC12851-00
Entity Address
520 E Broadway
Glendale, CA 91205-4926
Grant Number
H80CS12851
Participating Start Date
7/1/2015
Last Recertification Date
3/7/2016
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
AVS PHARMACY INC
Pharmacy Address
DBA AVS PHARMACY
511 1/2 E BROADWAY BLVD
GLENDALE, CA 91205
Pharmacy Comments
Contract Details
Approval Date
1/4/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
Noobar Janoian, CEO
(818) 409-3020
Contract Pharmacy Representative
All For Health, Health For all, Inc.
Vardui Malumyan, Pharmacist
(818) 484-8680
Signed By Date
1/4/2016
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