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HIGH DESERT REGIONAL HEALTH CENTER PHARM
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 REGIONAL HEALTH CENTER PHARM
Pharmacy Address
OUTPATIENT
335 E AVENUE I
RM 1A14
LANCASTER, CA 93535
Pharmacy Comments
Contract Details
Approval Date
1/16/2013
Contract Begin Date
4/1/2013
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
High Desert Regional Health Center
Romina Panoussi, Chief of Pharmacy
(661) 471-4107
Signed By Date
1/7/2013
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