Contract Pharmacy Details

RALPHS GROCERY CO.
CH091037A ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.

Covered Entity Details

Entity Name

ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.

Subdivision Name

SJCH COMPTON CLINIC

Type

HRSA-Funded Health Center

340B ID

CH091037A

Entity Address

2115 N Wilmington Ave
Compton, CA 90222-2030

Grant Number

H80CS00873

Participating Start Date

4/1/2005

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RALPHS GROCERY CO.

Pharmacy Address

DBA: RALPHS #284
10772 JEFFERSON BLVD
CULVER CITY, CA 90230

Pharmacy Comments

Contract Details

Approval Date

8/23/2012

Contract Begin Date

8/23/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/15/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

James Mangia, CEO
(323) 541-1600 Ext: 4000

Contract Pharmacy Representative

Kenny Kimball, VP Merchandising
(310) 884-4581

Signed By Date

7/27/2012

340B Drug Pricing Program Database