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SOUTH FIGUEROA DRUGS
CH091037D ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
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Covered Entity Details
Entity Name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Subdivision Name
SJWCFC LEWIS FRAYSER CLINIC
Type
HRSA-Funded Health Center
340B ID
CH091037D
Entity Address
5701 S. Hoover St
Los Angeles, CA 90037
Grant Number
H80CS00873
Participating Start Date
4/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SOUTH FIGUEROA DRUGS
Pharmacy Address
1503 W. MARTIN LUTHER KING JR BLVD
LOS ANGELES, CA 90062
Pharmacy Comments
Contract Details
Approval Date
1/6/2011
Contract Begin Date
1/11/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/3/2011
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