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CH091037Y 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 3
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032561
340B ID
CH091037Y
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
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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