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RX E-FILL SOLUTIONS
FQHCLA308A Universal Community Health Center
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Covered Entity Details
Entity Name
Universal Community Health Center
Subdivision Name
Universal Community Health Center - San Pedro St.
Type
Health Center Program Look-Alike
340B ID
FQHCLA308A
Entity Address
2801 S. San Pedro St.
Los Angeles, CA 90011
Grant Number
H80CS30722
Participating Start Date
10/1/2016
Last Recertification Date
1/30/2019
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
28341 CONSTELLATION RD
SANTA CLARITA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
7/7/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Agustin Jaime Lara, CEO
(323) 620-2596
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
7/7/2016
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