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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CHC10607-04 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC
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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
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
FLORA POLADYAN, COO
(818) 630-6106
Contract Pharmacy Representative
DHS
Shane D'Souza, Pharmacy Services Chief II
(213) 240-7717
Signed By Date
1/8/2018
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