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RX E-FILL SOLUTIONS
CH092536S JWCH INSTITUTE, INC.
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Covered Entity Details
Entity Name
JWCH INSTITUTE, INC.
Subdivision Name
JWCH Medical Clinic @ Bell Shelter
Type
HRSA-Funded Health Center
340B ID
CH092536S
Entity Address
5600 Rickenbacker Road, Bldg. E-1
Bell, CA 90201
Grant Number
H80CS06673
Participating Start Date
1/1/2015
Last Recertification Date
2/15/2023
Entity Termination Date
4/1/2024
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
7/31/2020
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
Cardinal Health Pharmacy
Robert Kulis, SVP GM Pharmacy Solutions
(281) 749-4083
Signed By Date
1/13/2016
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