Contract Pharmacy Details

BELL GARDENS PHARMACY
CH092536H JWCH INSTITUTE, INC.

Covered Entity Details

Entity Name

JWCH INSTITUTE, INC.

Subdivision Name

JWCH Institute, Inc. Medical Clinic / Weingart Center

Type

HRSA-Funded Health Center

340B ID

CH092536H

Entity Address

522 S. San Pedro St.
Los Angeles, CA 90013-2102

Grant Number

H80CS06673

Participating Start Date

1/1/2011

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

BELL GARDENS PHARMACY

Pharmacy Address

7625 S EASTERN AVE #C
BELL GARDENS, CA 90201

Pharmacy Comments

Contract Details

Approval Date

7/1/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/1/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009

Contract Pharmacy Representative

Young Kyung Cho, Pharmacist in Charge
(323) 773-3800

Signed By Date

7/1/2013

340B Drug Pricing Program Database