340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVALON PHARMACY
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
Print
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
AVALON PHARMACY
Pharmacy Address
AVALON PHARMACY
1203 N AVALON BLVD
SUITE A
WILMINGTON, CA 90744-9074
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
Zahra Armaghan, Pharmacisit in Charge
(310) 549-9393
Signed By Date
7/17/2017
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