340B Drug Pricing Program Database

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ILAB PHARMACY
CHC26613-00 ANTELOPE VALLEY COMMUNITY CLINIC

Covered Entity Details

Antelope Valley Community Clinic - Health and Wellness Center
HRSA-Funded Health Center
CHC26613-00
45104 10th St W
Lancaster, CA 93534-2310
H80CS26613
4/1/2014
2/1/2019
10/1/2019


Pharmacy Details

ILAB PHARMACY
44503 16TH ST W SUITE 101
LANCASTER, CA 93534-2886

Contract Details

10/12/2016
1/1/2017

10/1/2019
Covered Entity Terminated


Contacts


James A. Cook, CEO
(661) 942-2391



Jason Tambunting, Pharmacy Mgr.
(661) 945-8066
10/12/2016