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AVITA PHARMACY 1003
CH092536AJ JWCH Institute, Inc.
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Covered Entity Details
Entity Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers -- Lynwood
Type
HRSA-Funded Health Center
340B ID
CH092536AJ
Entity Address
3590 E Imperial Hwy
Lynwood, CA 90262-2655
Grant Number
H80CS06673
Participating Start Date
10/1/2018
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1003
Pharmacy Address
PHARMEDQUEST PHARMACY SERVICES DBA AVITA
3590 E IMPERIAL HWY RM 101
LYNWOOD, CA 90262-2655
Pharmacy Comments
Contract Details
Approval Date
1/21/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
PharMedQuest
Jerry Chang, Pharmacist
(714) 364-4008 Ext: 104
Signed By Date
1/21/2021
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