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CH091037AH ST. JOHN'S COMMUNITY HEALTH (Approved)
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Main Details
Name
ST. JOHN'S COMMUNITY HEALTH
Subdivision Name
SJCH - Mobile 5
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039848
340B ID
CH091037AH
Grant Number
H80CS00873
Additional Details
Current Program Status
Approved
Registration Date
4/4/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/6/2025
Last Recertification Date
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
808 W 58th St
Los Angeles, CA 90037-3632
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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