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PHARMEDQUEST PHARMACY SVCS
CH09311R ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical & Dental Group - East LA/Whittier West (Boyle Heights)
Type
HRSA-Funded Health Center
340B ID
CH09311R
Entity Address
3945 Whittier Blvd
Los Angeles, CA 90023-2440
Grant Number
H80CS00142
Participating Start Date
7/1/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PHARMEDQUEST PHARMACY SVCS
Pharmacy Address
DBA ALTAMED PHARMACY
3945 WHITTIER BLVD
LOS ANGELES, CA 90023-2440
Pharmacy Comments
Contract Details
Approval Date
7/14/2005
Contract Begin Date
7/14/2005
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/12/2005
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