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RX E-FILL SOLUTIONS
CHC10608-08 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Central City Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC10608-08
Entity Address
5968 S.Central Ave
Los Angeles, CA 90001-1100
Grant Number
H80CS10608
Participating Start Date
7/1/2015
Last Recertification Date
1/30/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
4/12/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
4/12/2017
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