340B Drug Pricing Program Database

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ALTO PHARMACY, LLC
STD891012 Sagebrush Health Services

Covered Entity Details

Bonanza Clinic
Sexually Transmitted Diseases
STD891012
2345 East Bonanza Road
Las Vegas, NV 89101
6 NH25PS005179-03-05
1/1/2022
6/6/2022
7/1/2023


Pharmacy Details

DBA ALTO PHARMACY
1400 TENNESSEE ST UNIT 2
SAN FRANCISCO, CA 94107-3421

Contract Details

11/29/2021
11/30/2021

7/1/2023
Covered Entity Terminated


Contacts


Vladimir Abadjiev, Operations Manager
(702) 526-3146



Alto Pharmacy
Jaime LaFontaine, Director of Enterprise
(916) 539-4587
11/29/2021