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AVITA PHARMACY 1012
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
AVITA PHARMACY 1012
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
420 S GLENDORA AVE
WEST COVINA, CA 91790-3001
Pharmacy Comments
Contract Details
Approval Date
5/22/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Contract Pharmacy Representative
PharMedQuest
Meera Hasolkar, Director of Pharmacy Operations
(714) 364-4008
Signed By Date
5/22/2015
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