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UNICARE PHARMACY INC
FQHCLA322 COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
COMPLETE CARE COMMUNITY HEALTH CENTER
Type
Health Center Program Look-Alike
340B ID
FQHCLA322
Entity Address
2928 E Cesar E. Chavez Ave
Los Angeles, CA 90033-3110
Grant Number
LALCS00153
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
UNICARE PHARMACY INC
Pharmacy Address
DBA MEDICORX SPECIALTY
7039 VALJEAN AVE
VAN NUYS, CA 91406
Pharmacy Comments
Contract Details
Approval Date
4/11/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Yury Akopyan, CEO
(562) 806-7545
Contract Pharmacy Representative
Vladimir Lenchitsky, CEO
(818) 390-9696
Signed By Date
4/11/2014
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