Pharmacy Details

AVITA PHARMACY 1003 - information as of 4/29/2025 2:10:50 AM

Name
AVITA PHARMACY 1003

Address

PHARMEDQUEST PHARMACY SERVICES DBA AVITA
3590 E IMPERIAL HWY RM 101
LYNWOOD, CA 90262-2655

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH0925360	JWCH INSTITUTE, INC.	JWCH Institute Corporate Headquarters	HRSA-Funded Health Center	5650 JILLSON ST		COMMERCE	CA	04/01/2021		4/1/2021 12:01 AM
Details	CH092536AA	JWCH INSTITUTE, INC.	Wesley Health Centers -- Downey	HRSA-Funded Health Center	8530 FIRESTONE BLVD		DOWNEY	CA	04/01/2021		4/1/2021 12:01 AM
Details	CH092536AF	JWCH Institute, Inc.	Wesley Health Centers -- Lynwood High School	HRSA-Funded Health Center	12124 Bullis Rd	Ste B104	Lynwood	CA	04/01/2021		4/1/2021 12:01 AM
Details	CH092536AJ	JWCH Institute, Inc.	Wesley Health Centers -- Lynwood	HRSA-Funded Health Center	3590 E Imperial Hwy		Lynwood	CA	04/01/2021		4/1/2021 12:01 AM
Details	CH092536X	JWCH INSTITUTE, INC.	JWCH Medical Clinic - Lynwood	HRSA-Funded Health Center	3591 E Imperial Hwy		Lynwood	CA	04/01/2021		4/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1003 PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3590 E IMPERIAL HWY RM 101 LYNWOOD, CA 90262-2655	6/7/2021 5:10 PM
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1003 PHARMEDQUEST PHARMACY SERVICES INC DBA J 3590 E IMPERIAL HWY RM 101 LYNWOOD, CA 90262-2655	5/5/2021 10:46 AM
Details	Name	Update		JWCH PMQ LYNWOOD PHARMACY	AVITA PHARMACY 1003	5/5/2021 10:46 AM
Addresses	Pharmacy Address	Insert			JWCH PMQ LYNWOOD PHARMACY PHARMEDQUEST PHARMACY SERVICES INC DBA J 3590 E IMPERIAL HWY RM 101 LYNWOOD, CA 90262-2655	3/8/2021 9:54 AM
Details	Comments	Insert				12/18/2020 4:27 PM
Details	Is Deleted	Insert			False	12/18/2020 4:27 PM
Addresses	Pharmacy Address	Insert			JWCH PMQ LYNWOOD PHARMACY PHARMEDQUEST PHARMACY SERVICES 3590 E IMPERIAL HWY RM 101 LYNWOOD, CA 90262-2655	12/18/2020 4:27 PM
Details	Name	Insert			JWCH PMQ LYNWOOD PHARMACY	12/18/2020 4:27 PM