340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAPITOL DRUGS - WEST HOLLYWOOD
CH092536AB JWCH INSTITUTE, INC.
Print
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
CAPITOL DRUGS - WEST HOLLYWOOD
Pharmacy Address
8578 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
VLS Capitol Drugs, Inc.
Raja Sannidhi, President
(310) 289-1125
Signed By Date
1/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session