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ALLIED HEALTH PARTNER INC
FQHCLA321A Southern California Medical Center
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Covered Entity Details
Entity Name
Southern California Medical Center
Subdivision Name
Southern California Medical Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA321A
Entity Address
12100 Valley Blvd.
El Monte, CA 91732-3100
Grant Number
LALCS00144
Participating Start Date
1/1/2014
Last Recertification Date
1/28/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
ALLIED HEALTH PARTNER INC
Pharmacy Address
DBA ALLIED HEALTH PHARMACY
14659 VICTORY BLVD
VAN NUYS, CA 91411
Pharmacy Comments
Contract Details
Approval Date
7/16/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Sheila Busheri, CEO
(818) 324-3780
Contract Pharmacy Representative
allied health pharmacy
Ken Jalali, CEO
(818) 357-4015
Signed By Date
7/16/2015
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