340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
EVERGREEN RX INC
CHC28987-03 COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Complete Care Community Health Center- Monterey Park suite 101
Type
HRSA-Funded Health Center
340B ID
CHC28987-03
Entity Address
941 S. Atlantic Blvd., Suite 101
Monterey Park, CA 91754
Grant Number
H80CS28987
Participating Start Date
4/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EVERGREEN RX INC
Pharmacy Address
DBA MEDICO PHARMACY
11779 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Pharmacy Comments
Contract Details
Approval Date
1/10/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yury Akopyan, CEO
(310) 730-6362
Contract Pharmacy Representative
Evergreen Rx, Inc DBA Medico Pharmacy
Afshin Azizisefat, PIC
(310) 444-9011
Signed By Date
1/10/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session