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VIDA DRUG STORE AND PHARMACY
CHC28995-00 UNICARE COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
UNICARE COMMUNITY HEALTH CENTER
Subdivision Name
Unicare Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28995-00
Entity Address
437 N EUCLID AVE
ONTARIO, CA 91762-3456
Grant Number
H80CS28995
Participating Start Date
7/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
VIDA DRUG STORE AND PHARMACY
Pharmacy Address
TDSM INC
437 N. EUCLID AVE SUIT B
ONTARIO, CA 91762
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Avetik Machkalyan, CEO
(909) 623-3600
Contract Pharmacy Representative
Vida Drug Stor and Pharmacy
SAHER MEKHAIL, CEO
(909) 983-0999
Signed By Date
4/13/2018
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