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MATS PHARMACY AND MEDICAL SUPPLIES
CH092536H JWCH INSTITUTE, INC.
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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
MATS PHARMACY AND MEDICAL SUPPLIES
Pharmacy Address
3625 MARTIN LUTHER KING JR. BLVD.
STE 1
LYNWOOD, CA 90262-3509
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
Banji Adereti, Pharmacist in Charge
(310) 637-6285
Signed By Date
7/1/2013
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