Contract Pharmacy Details

BIG 8 PHARMACY
CHC10608-10 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Central City Community Health Center - Baldwin Park #2

Type

HRSA-Funded Health Center

340B ID

CHC10608-10

Entity Address

4160 N. Maine Avenue
Ste. B1, B2, & B3
Baldwin Park, CA 91706

Grant Number

H80CS10608

Participating Start Date

7/1/2015

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

BIG 8 PHARMACY

Pharmacy Address

4318 MAINE AVE STE#C
BALDWIN PARK, CA 91706

Pharmacy Comments

Contract Details

Approval Date

7/17/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/17/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Contract Pharmacy Representative

william thai, owner
(714) 537-8099

Signed By Date

7/17/2017

340B Drug Pricing Program Database