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EL MONTE PHARMACY
CH093110 ALTAMED Health Services Corporation
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Covered Entity Details
Entity Name
ALTAMED Health Services Corporation
Subdivision Name
AltaMed Health Services Corporation Headquarters
Type
HRSA-Funded Health Center
340B ID
CH093110
Entity Address
2040 CAMFIELD AVENUE
Commerce, CA 90040
Grant Number
H80CS00142
Participating Start Date
4/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EL MONTE PHARMACY
Pharmacy Address
3948 N PECK RD STE A1-A2
EL MONTE, CA 91732
Pharmacy Comments
02/01/2012 changed address line 1 added line 2(was 3948 NORTH PECK ROAD, SUITE 5)
Contract Details
Approval Date
7/21/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Castulo De La Rocha, CEO
(323) 725-8751
Contract Pharmacy Representative
Ken Thai, Pharmacist in Charge
(626) 448-2576
Signed By Date
7/21/2014
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