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MARKET PHARMACY
FQHCLA321 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
FQHCLA321
Entity Address
8825 Whittier Blvd.
Pico Rivera, CA 90660-2600
Grant Number
LALCS00144
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
MARKET PHARMACY
Pharmacy Address
9250 RESEDA BLVD STE 2C
NORTHRIDGE, CA 91324-5215
Pharmacy Comments
Contract Details
Approval Date
7/19/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sheila Busheri, CEO
(818) 324-3780
Contract Pharmacy Representative
Market Pharmacy
ARMEN TATEVOSSIAN, PHARMACIST
(818) 701-7777
Signed By Date
7/19/2016
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