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CH091037P 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
SJWCFC Mobile #1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013482
340B ID
CH091037P
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
7/3/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
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
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
May 2025
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