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MCCARTHY PHARMACY INC
RWI39 CHW-CARE PROGRAM AND CLINICS
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Covered Entity Details
Entity Name
CHW-CARE PROGRAM AND CLINICS
Subdivision Name
ST. MARY MEDICAL CENTER
Type
Ryan White Part A
340B ID
RWI39
Entity Address
1043 ELM AVENUE
SUITE 300
LONG BEACH, CA 90813
Grant Number
LOS ANGELES EMA / H89HA00016
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
MCCARTHY PHARMACY INC
Pharmacy Address
MCCARTHY DRUGS
12025 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Pharmacy Comments
Contract Details
Approval Date
4/1/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Miguel Gutierrez, Sr. Clinic Operations Administrator
(562) 491-9267 Ext: 3267
Contract Pharmacy Representative
Mordechai Nikfar, Owner/Pharmacist in Charge
(310) 452-1105
Signed By Date
4/1/2015
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