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AVS PHARMACY INC
CHC12851-02 ALL FOR HEALTH HEALTH FOR ALL
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Covered Entity Details
Entity Name
ALL FOR HEALTH HEALTH FOR ALL
Subdivision Name
All For Health, Health For All - Pediatrics
Type
HRSA-Funded Health Center
340B ID
CHC12851-02
Entity Address
1030 South Glendale Avenue, Suite 307
Glendale, CA 91204
Grant Number
H80CS12851
Participating Start Date
1/1/2016
Last Recertification Date
2/5/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
AVS PHARMACY INC
Pharmacy Address
DBA AVS PHARMACY
511 1/2 E BROADWAY BLVD
GLENDALE, CA 91205
Pharmacy Comments
Contract Details
Approval Date
4/20/2016
Contract Begin Date
4/20/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Noobar Janoian, CEO
(818) 409-3020
Contract Pharmacy Representative
All For Health, Health For all, Inc.
Vardui Malumyan, Pharmacist
(818) 484-8680
Signed By Date
4/20/2016
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