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CRENSHAW PHARMACY INC
CHC26616-00 BENEVOLENCE INDUSTRIES INCORPORATED
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Covered Entity Details
Entity Name
BENEVOLENCE INDUSTRIES INCORPORATED
Subdivision Name
Benevolence Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26616-00
Entity Address
611 E. Imperial Highway
Suite 107
Los Angeles, CA 90059
Grant Number
H80CS26616
Participating Start Date
4/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
CRENSHAW PHARMACY INC
Pharmacy Address
DBA CRENSHAW PHARMACY
3631 CRENSHAW BLVD #111
LOS ANGELES, CA 90016
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kwabena Obeng, CEO
(310) 800-7963
Contract Pharmacy Representative
Crenshaw Pharmacy Inc
NASTARAN ESTHER KOHANCHI, CEO
(323) 732-5555
Signed By Date
7/15/2016
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