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CH0910370 ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. (Active)
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Main Details
Name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Subdivision Name
St. Johns Well Child and Family Center Magnolia Place
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008081
340B ID
CH0910370
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
3/4/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
St. John's Community Health
James Mangia, CEO
(323) 541-1600 Ext: 4000
Primary Contact
St. John Community Center
Peter Nabil Tawfik, Chief of Pharmacy Officer
(615) 957-8115
Addresses
Street Address
1910 Magnolia Ave
101
Los Angeles, CA 90007
Billing Address
St. John's Well Child and Family Center
808 West 58th street
Los angeles, CA 90037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/7/08 UPDATED ADDR. (WAS 514 WEST ADAMS STREET)
01/13/2010
April 2025
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