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ALTO PHARMACY LLC
STD94509 Planned Parenthood: Shasta-Diablo, Inc. DBA Planned Parenthood Northern California
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Covered Entity Details
Entity Name
Planned Parenthood: Shasta-Diablo, Inc. DBA Planned Parenthood Northern California
Subdivision Name
ANTIOCH CENTER
Type
Sexually Transmitted Diseases
340B ID
STD94509
Entity Address
1104 BUCHANAN ROAD
#C10
ANTIOCH, CA 94509-4426
Grant Number
1H25PS005127
Participating Start Date
4/1/2004
Last Recertification Date
5/6/2024
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
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Horne, Vice President of Patient Services
(925) 412-2381
Contract Pharmacy Representative
Alto Pharmacy
Jaime LaFontaine, Director of Enterprise
(916) 539-4587
Signed By Date
10/15/2021
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