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RX E-FILL SOLUTIONS
FQHCLA308 Universal Community Health Center
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Covered Entity Details
Entity Name
Universal Community Health Center
Subdivision Name
Type
Health Center Program Look-Alike
340B ID
FQHCLA308
Entity Address
1005 E. Washington Blvd.
Suite A
Los Angeles, CA 90021
Grant Number
H80CS30722
Participating Start Date
4/1/2013
Last Recertification Date
1/30/2019
Entity Termination Date
7/1/2019
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
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Agustin Jaime Lara, Chief Executive Officer
(213) 745-3636
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/15/2016
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