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AVITA PHARMACY 1013
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 1013
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
1555 SOUTH GAREY AVENUE
POMONA, CA 91766-5222
Pharmacy Comments
Contract Details
Approval Date
7/2/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Contract Pharmacy Representative
PharMedQuest Pharmacy Services
Sam Badianat, Director of Program Management
(714) 364-1422 Ext: 104
Signed By Date
7/2/2015
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