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MODERN HEALTH PHARMACY
CH099000 EAST VALLEY COMMUNITY HEALTH CENTER INC
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Covered Entity Details
Entity Name
EAST VALLEY COMMUNITY HEALTH CENTER INC
Subdivision Name
EAST VALLEY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH099000
Entity Address
420 S Glendora Ave
West Covina, CA 91790-3001
Grant Number
H80CS00286
Participating Start Date
4/1/1998
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MODERN HEALTH PHARMACY
Pharmacy Address
110 E HUNTINGTON DR
ATTN: SHERRI CHERMAN, EVP/COO
MONROVIA, CA 91016
Pharmacy Comments
Contract Details
Approval Date
4/1/1999
Contract Begin Date
4/1/1999
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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