340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALTO PHARMACY, LLC
STD891011 John Phoenix APRN, PLLC
Print
Covered Entity Details
Entity Name
John Phoenix APRN, PLLC
Subdivision Name
Huntridge Family Clinic
Type
Sexually Transmitted Diseases
340B ID
STD891011
Entity Address
The Gay and Lesbian Center
401 S. Maryland Parkway
Las Vegas, NV 89101
Grant Number
5 NH25PS005179-02-00
Participating Start Date
4/1/2020
Last Recertification Date
5/10/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
ALTO PHARMACY, LLC
Pharmacy Address
DBA ALTO PHARMACY
1400 TENNESSEE ST UNIT 2
SAN FRANCISCO, CA 94107-3421
Pharmacy Comments
Contract Details
Approval Date
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John Phoenix, Chief Clinical Officer
(702) 979-1111
Contract Pharmacy Representative
Alto Pharmacy
Amil Patel, Head of Pharmacy
(800) 874-5881
Signed By Date
7/9/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session