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MCCARTHY PHARMACY INC
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BEHAVIORAL HEALTH SERVICES INC
Subdivision Name
Behavioral Health Services - Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29048-00
Entity Address
2501 W. El Segundo Blvd. Suite B
Hawthorne, CA 90250
Grant Number
H80CS29048
Participating Start Date
10/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MCCARTHY PHARMACY INC
Pharmacy Address
MCCARTHY DRUGS
12025 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
Mordechai Nikfar, Owner/Pharmacist in Charge
(310) 452-1105
Signed By Date
10/17/2016
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