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CCRX INC
CHC28984-00 CENTER FOR FAMILY HEALTH & EDUCATION, INC.
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH & EDUCATION, INC.
Subdivision Name
Center for Family Health and Education, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28984-00
Entity Address
8727 Van Nuys Blvd STE 102
Panorama City, CA 91402-2400
Grant Number
H80CS28984
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CCRX INC
Pharmacy Address
DBA CCRX
1919 W 7TH ST UNIT M
LOS ANGELES, CA 90057-4103
Pharmacy Comments
Contract Details
Approval Date
4/25/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110
Contract Pharmacy Representative
CCRX INC
Soheil Zafarmehr, Owner
(213) 674-7577
Signed By Date
4/25/2016
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