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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CH092536AB JWCH INSTITUTE, INC.
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Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
Wesley Health Centers -- Andrew Escajeda Clinic
Type
HRSA-Funded Health Center
340B ID
CH092536AB
Entity Address
1845 N. Fair Oaks Ave., Suite G151
Pasadena, CA 91103
Grant Number
H80CS06673
Participating Start Date
7/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
8/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
Olive View UCLA Medical Center
Nadrine Balady-Bouziane, Pharm.D.
(747) 210-3059
Signed By Date
8/6/2020
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