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RX E-FILL SOLUTIONS
CH09316E ARROYO VISTA FAMILY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
ARROYO VISTA FAMILY HEALTH FOUNDATION
Subdivision Name
ARROYO VISTA FAMILY HEALTH CENTER ~ El Sereno Huntington Dr.
Type
HRSA-Funded Health Center
340B ID
CH09316E
Entity Address
4837 Huntington Dr N
Los Angeles, CA 90032-1981
Grant Number
H80CS00374
Participating Start Date
4/1/2013
Last Recertification Date
2/26/2025
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
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lorraine J. Estradas, CEO
(323) 254-5291 Ext: 3201
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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