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MERCY LTC AND SPECIALTY PHARMACY
CH0925360 JWCH INSTITUTE, INC.
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Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
JWCH Institute Corporate Headquarters
Type
HRSA-Funded Health Center
340B ID
CH0925360
Entity Address
5650 JILLSON ST
COMMERCE, CA 90040-1482
Grant Number
H80CS06673
Participating Start Date
9/16/2005
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MERCY LTC AND SPECIALTY PHARMACY
Pharmacy Address
11515 ARTESIA BLVD STE 201
ARTESIA, CA 90701-3852
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Contract Pharmacy Representative
RX Consultants Group dba Mercy LTC and Specialty Pharmacy
Jean Ly, President/CEO
(562) 402-0542
Signed By Date
7/15/2024
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