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CH09242Z OLE HEALTH (Active)
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Main Details
Name
OLE HEALTH
Subdivision Name
Drew Avenue Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037743
340B ID
CH09242Z
Grant Number
H80CS04219
Additional Details
Current Program Status
Active
Registration Date
12/1/2023
Participating Start Date
1/1/2024
Participating Approval Date
12/4/2023
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
OLE Health
Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222
Primary Contact
OLE Health
Antonio Olea, Director of Pharmacy
(619) 756-9987
Addresses
Street Address
1590 Drew Ave STE 210
Davis, CA 95618-7848
Billing Address
OLE Health
1141 Pear Tree Lane
Suite 100
Napa, CA 94558
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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