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SUN SUN
FQHCLA303 Garfield Health Center
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Covered Entity Details
Entity Name
Garfield Health Center
Subdivision Name
Garfield Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA303
Entity Address
210 N. Garfield Avenue, Suite 203
Monterey Park, CA 91754-1746
Grant Number
LALCS00124
Participating Start Date
10/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SUN SUN
Pharmacy Address
DBA SUN SUN PHARMACY
600 N GARFIELD AVE STE 107A
MONTEREY PARK, CA 91754-1167
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lionel Yu, COO
(626) 300-9980
Contract Pharmacy Representative
sunsun pharmacy
Grace Hong, Manager
(626) 288-6560
Signed By Date
1/15/2018
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