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RALPHS GROCERY CO
CHC26612-01 ALL-INCLUSIVE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
ALL-INCLUSIVE COMMUNITY HEALTH CENTER
Subdivision Name
AICHC-Angeles
Type
HRSA-Funded Health Center
340B ID
CHC26612-01
Entity Address
3920 Eagle Rock BLVD Suite A
Los Angeles, CA 90065-3606
Grant Number
H80CS26612
Participating Start Date
10/1/2016
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
RALPHS GROCERY CO
Pharmacy Address
DBA RALPHS #712
1100 N SAN FERNANDO BLVD
BURBANK, CA 91504
Pharmacy Comments
Contract Details
Approval Date
7/13/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marine Dzhgalyan, CEO
(818) 843-9900 Ext: 105
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/13/2016
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