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MEDICAL ARTS PHARMACY
CH092536Z JWCH INSTITUTE, INC.
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Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
Bell Gardens Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH092536Z
Entity Address
6912 AJAX AVE
BELL GARDENS, CA 90201-4057
Grant Number
H80CS06673
Participating Start Date
1/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY
Pharmacy Address
5101 FLORENCE AVE
BELL, CA 90201-3801
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
Medical Arts Pharmacy
Micki Singh, Pharmacist
(323) 771-1112
Signed By Date
7/14/2020
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