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LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
CH091040 ASIAN PACIFIC HEALTH CARE VENTURE INC
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Covered Entity Details
Entity Name
ASIAN PACIFIC HEALTH CARE VENTURE INC
Subdivision Name
APHCV-Los Feliz Health Center
Type
HRSA-Funded Health Center
340B ID
CH091040
Entity Address
1530 HILLHURST AVENUE
LOS ANGELES, CA 90027-5516
Grant Number
H80CS00787
Participating Start Date
10/1/1997
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
Pharmacy Address
313 N FIGUEROA STREET
SUITE 1225
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
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
KAZUE SHIBATA, CEO
(323) 644-3880 Ext: 254
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
7/15/2015
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