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RX E-FILL SOLUTIONS
CH091037B ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
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Covered Entity Details
Entity Name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Subdivision Name
ABRAHAM LINCOLN SBHC
Type
HRSA-Funded Health Center
340B ID
CH091037B
Entity Address
2512 Alta St
Los Angeles, CA 90031-2457
Grant Number
H80CS00873
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
CARDINAL HEALTH PHARMACY SERVICES, LLC
27680 AVENUE MENTRY STE 100
VALENCIA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Mangia, CEO
(323) 541-1600 Ext: 4000
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/15/2016
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