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ALTO PHARMACY, LLC
CH091030 ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
ASIAN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH091030
Entity Address
818 Webster St
Oakland, CA 94607-4220
Grant Number
H80CS00773
Participating Start Date
4/1/1996
Last Recertification Date
2/10/2025
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
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
SHERRY HIROTA, CEO
(510) 735-3111
Contract Pharmacy Representative
Alto Pharmacy
Jaime LaFontaine, Director of Enterprise
(916) 539-4587
Signed By Date
7/14/2021
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