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ALTO PHARMACY, LLC
RWI98118 People of Color Against AIDS Network
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Covered Entity Details
Entity Name
People of Color Against AIDS Network
Subdivision Name
POCAAN
Type
Ryan White Part A
340B ID
RWI98118
Entity Address
4437 Rainier Ave South
Seattle, WA 98118
Grant Number
H89HA00022
Participating Start Date
4/20/2022
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
4/20/2022
Contract Begin Date
4/20/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Sawyer, Director
(206) 322-7061 Ext: 24
Contract Pharmacy Representative
Alto Pharmacy
Neil Joanidhi, Pharmacist
(702) 813-8576
Signed By Date
4/14/2022
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