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PINNACLE PHARMACY
CHC26612-00 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
ALL-INCLUSIVE COMMUNITY HEALTH CENTER
Subdivision Name
All-Inclusive Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26612-00
Entity Address
1311 N San Fernando Blvd
Burbank, CA 91504-4236
Grant Number
H80CS26612
Participating Start Date
4/1/2014
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
PINNACLE PHARMACY
Pharmacy Address
1811 W. GLENOAKS BLVD.
SUITE A
GLENDALE, CA 91201
Pharmacy Comments
Contract Details
Approval Date
3/7/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/27/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Marine Dzhgalyan, CEO
(818) 843-9900 Ext: 105
Contract Pharmacy Representative
Lilit Amiryon, Pharmacist in Charge
(818) 484-5532
Signed By Date
3/7/2014
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