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RX E-FILL SOLUTIONS
CHC08241-01 MISSION CITY COMMUNITY NETWORK INC
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Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK INC
Subdivision Name
MCCN- Inglewood
Type
HRSA-Funded Health Center
340B ID
CHC08241-01
Entity Address
501 E Hardy St STE 110
Inglewood, CA 90301-4015
Grant Number
H80CS08241
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
28341 CONSTELLATION RD
SANTA CLARITA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/13/2016
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