Contract Pharmacy Details

RX E-FILL SOLUTIONS
CHC08241-03 MISSION CITY COMMUNITY NETWORK INC

Covered Entity Details

Entity Name

MISSION CITY COMMUNITY NETWORK INC

Subdivision Name

Mission City Community Network - Pomona - Mobile Clinic

Type

HRSA-Funded Health Center

340B ID

CHC08241-03

Entity Address

845 E Arrow Hwy
Pomona, CA 91767-2535

Grant Number

H80CS08241

Participating Start Date

4/1/2013

Last Recertification Date

2/1/2019

Entity Termination Date

4/1/2019

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

4/1/2019
Covered Entity Terminated

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

340B Drug Pricing Program Database