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CH091037AB ST. JOHN'S COMMUNITY HEALTH (Active)
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Main Details
Name
ST. JOHN'S COMMUNITY HEALTH
Subdivision Name
SJCH Health Center at the Jaqueline Avant Children and Family Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036818
340B ID
CH091037AB
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
7/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/7/2023
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
1741 E 120th St
STE 200
Los Angeles, CA 90059-3051
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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