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P & A HEALTHCARE LLC
CHC00850-00 WATTS HEALTHCARE CORPORATION
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Covered Entity Details
Entity Name
WATTS HEALTHCARE CORPORATION
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC00850-00
Entity Address
10300 COMPTON AVENUE
LOS ANGELES, CA 90002
Grant Number
H80CS00850
Participating Start Date
1/1/2009
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
P & A HEALTHCARE LLC
Pharmacy Address
DBA SOUTH GATE PHARMACY
8200 LONG BEACH BLVD UNIT D-2
SOUTH GATE, CA 90280
Pharmacy Comments
Contract Details
Approval Date
4/21/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael J Johnson, President and CEO
(323) 564-4331
Contract Pharmacy Representative
South Gate Pharmacy
Derek Huu Huynh, President
(323) 537-2837
Signed By Date
4/21/2022
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