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CH091037Z 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 50th Street Dental Clinic at Boys & Girls Club
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021577
340B ID
CH091037Z
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
10/3/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/4/2022
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
1000 W 50th St
Los Angeles, CA 90037
Billing Address
St. John's Well Child and Family Center
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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May 2025
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