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LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
CHC26618-00 HERALD CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
HERALD CHRISTIAN HEALTH CENTER
Subdivision Name
HCHC - San Gabriel
Type
HRSA-Funded Health Center
340B ID
CHC26618-00
Entity Address
923 S. San Gabriel Blvd
San Gabriel, CA 91776
Grant Number
H80CS26618
Participating Start Date
4/1/2014
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY
Pharmacy Address
313 N FIGUEROA STREET
SUITE 1225
LOS ANGELES, CA 90012
Pharmacy Comments
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carolin Eng, CEO
(626) 286-8700 Ext: 1102
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
4/2/2015
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