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CH091037T 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 Crenshaw Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021140
340B ID
CH091037T
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
1/2/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/25/2018
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
4251 Crenshaw Blvd
Los Angeles, CA 90008
Billing Address
St. John's Well Child And Family Center, Inc.
808 W 58th St
Los Angeles, CA 90037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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