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ALTO PHARMACY LLC
RWI946091 Primary Care at Home, INC.
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Covered Entity Details
Entity Name
Primary Care at Home, INC.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI946091
Entity Address
400 - 29th Street
Suite 306
Oakland, CA 94609
Grant Number
H89HA00018
Participating Start Date
5/10/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ALTO PHARMACY LLC
Pharmacy Address
DBA ALTO PHARMACY
2360 QUME DR
STE A
SAN JOSE, CA 95131
Pharmacy Comments
Contract Details
Approval Date
5/5/2021
Contract Begin Date
5/13/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony E. Jones, Board Chair
(510) 822-2588
Contract Pharmacy Representative
Alto Pharmacy
Jaime LaFontaine, Director of Enterprise
(916) 539-4587
Signed By Date
4/9/2021
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