Contract Pharmacy Details

LANDMARK SPECIALTY PHARMACY INC
CHC10607-04 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC

Covered Entity Details

Entity Name

COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC

Subdivision Name

Comprehensive Community Health Centers, Inc-Sunland

Type

HRSA-Funded Health Center

340B ID

CHC10607-04

Entity Address

8316 Foothill Blvd.
Sunland, CA 91040-2850

Grant Number

H80CS10607

Participating Start Date

7/1/2017

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

LANDMARK SPECIALTY PHARMACY INC

Pharmacy Address

DBA LANDMARK SPECIALTY PHARMACY
1208 W. MAGNOLIA BLVD
BURBANK, CA 91506

Pharmacy Comments

Contract Details

Approval Date

4/25/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Pharmacy
Kristina Kross, Pharmacist in charge
(818) 260-0010

Signed By Date

340B Drug Pricing Program Database