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RX E-FILL SOLUTIONS
CH092536T JWCH INSTITUTE, INC.
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Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
JWCH Medical Clinic @ St. George Hotel
Type
HRSA-Funded Health Center
340B ID
CH092536T
Entity Address
115 E 3rd St
Los Angeles, CA 90013-1301
Grant Number
H80CS06673
Participating Start Date
1/1/2015
Last Recertification Date
2/21/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
RX E-FILL SOLUTIONS
Pharmacy Address
28341 CONSTELLATION RD
SANTA CLARITA, CA 91355
Pharmacy Comments
Contract Details
Approval Date
1/13/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/27/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Andy Irie, Chief Administrative Officer
(323) 201-4516 Ext: 3011
Contract Pharmacy Representative
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/13/2016
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