340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
IMANOEL PHARMACY
CHC08241-13 MISSION CITY COMMUNITY NETWORK, INC.
Print
Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission CIty Community Network- Fairfax
Type
HRSA-Funded Health Center
340B ID
CHC08241-13
Entity Address
359 N. Fairfax Avenue-2nd Floor
Los Angeles, CA 90036-9007
Grant Number
H80CS08241
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
IMANOEL PHARMACY
Pharmacy Address
DBA SUNSHINE PHARMACY
357 N FAIRFAX AVE
LOS ANGELES, CA 90036
Pharmacy Comments
Contract Details
Approval Date
4/18/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/3/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Imanoel Pharmacy, DBA Sunshine Pharmacy
Eli Seleh, Pharmacist
(310) 666-0514
Signed By Date
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session