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HIGH DESERT HEALTHSYSTEM
FP935342 L.A. COUNTY DEPARTMENT OF HEALTH SERVICES
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Covered Entity Details
Entity Name
L.A. COUNTY DEPARTMENT OF HEALTH SERVICES
Subdivision Name
ANTELOPE VALLEY HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP935342
Entity Address
335 B EAST AVE
K-6
LANCASTER, CA 93534
Grant Number
FPHPA096061
Participating Start Date
1/1/1998
Last Recertification Date
5/11/2016
Entity Termination Date
10/1/2016
Pharmacy Details
Pharmacy Name
HIGH DESERT HEALTHSYSTEM
Pharmacy Address
PHARMACY
44900 N. 60TH WEST
LANCASTER, CA 93536
Pharmacy Comments
01/16/2013 DEA register normalization removed address line 1 (was MAIN BUILDING ROOM D-26)
Contract Details
Approval Date
5/5/2010
Contract Begin Date
5/5/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
TIMOTHY K. MOORE, ASSISTANT ADMINISTRATOR
(661) 945-8364
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
4/29/2010
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