340B Drug Pricing Program Database


AVITA PHARMACY 1002 - information as of 5/9/2025 11:04:01 PM


AVITA PHARMACY 1002

PHARMEDQUEST PHARMACY SERVICES DBA AVITA
954 N VERMONT AVE # 132
LOS ANGELES, CA 90029-3529



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0925360JWCH INSTITUTE, INC.JWCH Institute Corporate HeadquartersHRSA-Funded Health Center5650 JILLSON ST
COMMERCECA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AJWCH INSTITUTE, INC.JWCH MEDICAL CLINIC @ WEINGARTHRSA-Funded Health Center515 E 6th St
Los AngelesCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AAJWCH INSTITUTE, INC.Wesley Health Centers -- DowneyHRSA-Funded Health Center8530 FIRESTONE BLVD
DOWNEYCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536ABJWCH INSTITUTE, INC.Wesley Health Centers -- Andrew Escajeda ClinicHRSA-Funded Health Center1845 N. Fair Oaks Ave., Suite G151
PasadenaCA01/01/202007/31/20207/31/2020 12:01 AM
DetailsCH092536ABJWCH INSTITUTE, INC.Wesley Health Centers -- Andrew Escajeda ClinicHRSA-Funded Health Center1845 N. Fair Oaks Ave., Suite G151
PasadenaCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536ACJWCH INSTITUTE, INC.Wesley Health Center -- Hacienda HeightsHRSA-Funded Health Center15898 GALE AVE
HACIENDA HEIGHTSCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536ADJWCH Institute, Inc.Wesley Health Centers -- Michael Antonovich Dental ClinicHRSA-Funded Health Center1845 N. Fair Oaks Ave. Suite 1101
PasadenaCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AEJWCH Institute, Inc.JWCH Institute, Inc., Mini House Residential TreatmentHRSA-Funded Health Center303 E 52nd St
Los AngelesCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AFJWCH Institute, Inc.Wesley Health Centers -- Lynwood High SchoolHRSA-Funded Health Center12124 Bullis Rd
Ste B104 		LynwoodCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AGJWCH Institute, Inc.Wesley Health Centers -- Fedde International Studies AcademyHRSA-Funded Health Center21409 Elaine Ave
Hawaiian GardensCA01/01/202004/01/20234/1/2023 12:01 AM
DetailsCH092536AHJWCH Institute, Inc.Wesley Health Centers -- WhitterHRSA-Funded Health Center10750 Laurel Ave
WhittierCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AJJWCH Institute, Inc.Wesley Health Centers -- LynwoodHRSA-Funded Health Center3590 E Imperial Hwy
LynwoodCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AMJWCH Institute, Inc.Wesley Health Centers- Health and Wellness CenterHRSA-Funded Health Center45104 10th St W
LancasterCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536ANJWCH Institute, Inc.Wesley Health Centers- Palmdale CentralHRSA-Funded Health Center2151 E Palmdale Blvd
PalmdaleCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536APJWCH Institute, Inc.Wesley Health Centers- Palmdale EastHRSA-Funded Health Center37926 47th St E
PalmdaleCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536AQJWCH Institute, Inc.Wesley Health Centers (Corner of Hope)HRSA-Funded Health Center500 S San Pedro St
Los AngelesCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536ARJWCH Institute, Inc.JWCH PATH CLINICHRSA-Funded Health Center340 N. MADISON
LOS ANGELESCA10/01/202004/01/20234/1/2023 12:01 AM
DetailsCH092536ASJWCH Institute, Inc.Student Health & Wellness CenterHRSA-Funded Health Center855 N. Vermont Ave, Student Services Building STE 120
Los AngelesCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536ATJWCH Institute, Inc.Wesley Health Centers - MLK Recuperative Care CenterHRSA-Funded Health Center1670 E. 120th Street, West Support BLDG #14 FL 1
Los AngelesCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536AUJWCH Institute, Inc.Wesley Health Centers - MLK Recuperative Care CenterHRSA-Funded Health Center1670 E. 120th Street, West Support BLDG #14 FL 2
Los AngelesCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536AVJWCH Institute, Inc.Wesley Health Centers-- Vermont AnnexHRSA-Funded Health Center964 Vermont Ave.
Los AngelesCA10/01/2020 10/1/2020 12:01 AM
DetailsCH092536AWJWCH Institute, Inc.Wesley Health Centers- Bell Gardens DentalHRSA-Funded Health Center6336 Florence Ave
Bell GardensCA07/01/2022 7/1/2022 12:01 AM
DetailsCH092536AXJWCH Institute, Inc.JWCH PATH ClinicHRSA-Funded Health Center320 N Madison Ave Ste A
Los AngelesCA07/01/2022 7/1/2022 12:01 AM
DetailsCH092536AYJWCH Institute, Inc.Wesley Health Centers - San Julian OasisHRSA-Funded Health Center628 San Julian St
Los AngelesCA04/01/2023 4/1/2023 12:01 AM
DetailsCH092536BBJWCH Institute, Inc.Wesley Health Centers Bell OasisHRSA-Funded Health Center5502 K St BLDG C
BellCA01/01/2024 1/1/2024 12:01 AM
DetailsCH092536HJWCH INSTITUTE, INC.JWCH Institute, Inc. Medical Clinic / Weingart CenterHRSA-Funded Health Center522 S. San Pedro St.
Los AngelesCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536JJWCH INSTITUTE, INC.JWCH Medical Clinic @ Charles Cobb HotelHRSA-Funded Health Center521 S San Pedro St
Los AngelesCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536LJWCH INSTITUTE, INC.JWCH Medical Clinic at Downtown Women's CenterHRSA-Funded Health Center442 S SAN PEDRO ST
LOS ANGELESCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536QJWCH INSTITUTE, INC.JWCH Medical Clinic @ Abbey ApartmentsHRSA-Funded Health Center625 S San Pedro St
Los AngelesCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536RJWCH INSTITUTE, INC.JWCH Medical Clinic @ Simone HotelHRSA-Funded Health Center520 San Julian St
Los AngelesCA01/01/202004/01/20254/1/2025 12:01 AM
DetailsCH092536SJWCH INSTITUTE, INC.JWCH Medical Clinic @ Bell ShelterHRSA-Funded Health Center5600 Rickenbacker Road, Bldg. E-1
BellCA01/01/202007/31/20207/31/2020 12:01 AM
DetailsCH092536SJWCH INSTITUTE, INC.JWCH Medical Clinic @ Bell ShelterHRSA-Funded Health Center5600 Rickenbacker Road, Bldg. E-1
BellCA10/01/202004/01/20244/1/2024 12:01 AM
DetailsCH092536TJWCH INSTITUTE, INC.JWCH Medical Clinic @ St. George HotelHRSA-Funded Health Center115 E 3rd St
Los AngelesCA01/01/202004/01/20254/1/2025 12:01 AM
DetailsCH092536UJWCH INSTITUTE, INC.Wesley Health Centers (Vermont)HRSA-Funded Health Center954 N. Vermont Ave.
LOS ANGELESCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536VJWCH INSTITUTE, INC.Wesley Health Centers (Bellflower)HRSA-Funded Health Center14371 Clark Ave
BellflowerCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536XJWCH INSTITUTE, INC.JWCH Medical Clinic - LynwoodHRSA-Funded Health Center3591 E Imperial Hwy
LynwoodCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536YJWCH INSTITUTE, INC.NORWALK REGIONAL HEALTH CENTERHRSA-Funded Health Center12360 FIRESTONE BLVD
NORWALKCA01/01/2020 1/1/2020 12:05 AM
DetailsCH092536ZJWCH INSTITUTE, INC.Bell Gardens Community Health CenterHRSA-Funded Health Center6912 AJAX AVE
BELL GARDENSCA01/01/2020 1/1/2020 12:05 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  AVITA PHARMACY 1002 PHARMEDQUEST PHARMACY SERVICES DBA AVITA 954 N VERMONT AVE # 132 LOS ANGELES, CA 90029-35296/7/2021 5:10 PM
AddressesPharmacy AddressInsert  AVITA PHARMACY 1002 PHARMEDQUEST PHARMACY SERVICES 954 N VERMONT AVE # 132 LOS ANGELES, CA 90029-35295/5/2021 10:46 AM
DetailsNameUpdate PMQ VERMONT PHARMACYAVITA PHARMACY 10025/5/2021 10:46 AM
DetailsCommentsInsert   10/3/2019 3:03 PM
DetailsIs DeletedInsert  False10/3/2019 3:03 PM
AddressesPharmacy AddressInsert  PMQ VERMONT PHARMACY 954 N VERMONT AVE # 132 LOS ANGELES, CA 90029-352910/3/2019 3:03 PM
DetailsNameInsert  PMQ VERMONT PHARMACY10/3/2019 3:03 PM