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VAN NUYS MEDICAL PHARMACY INC.
CHC08241-17 MISSION CITY COMMUNITY NETWORK, INC.
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Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
MIssion City Community Network - Northridge
Type
HRSA-Funded Health Center
340B ID
CHC08241-17
Entity Address
8363 Reseda Blvd.
Northridge, CA 91324-4623
Grant Number
H80CS08241
Participating Start Date
4/1/2017
Last Recertification Date
2/1/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
VAN NUYS MEDICAL PHARMACY INC.
Pharmacy Address
8737 VAN NUYS BLVD UNIT B
PANORAMA CITY, CA 91402-2401
Pharmacy Comments
Contract Details
Approval Date
1/11/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Poonam Gupta, CEO
(818) 810-6918
Signed By Date
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