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CLINIC PHARMACIES III, INC
CH092420 OLE HEALTH
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Covered Entity Details
Entity Name
OLE HEALTH
Subdivision Name
OLE Health - North Napa Campus
Type
HRSA-Funded Health Center
340B ID
CH092420
Entity Address
1141 PEAR TREE LANE
Suite 100
NAPA, CA 94558-6485
Grant Number
H80CS04219
Participating Start Date
10/1/2004
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
CLINIC PHARMACIES III, INC
Pharmacy Address
DBA CLINIC OLE PHARMACY
1141 PEAR TREE LN STE 250
NAPA, CA 94558-6445
Pharmacy Comments
Contract Details
Approval Date
9/21/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/9/2019
Ownership change
Contacts
Covered Entity Signing Official
Tanir Ami, Chief Executive Officer
(707) 254-1770 Ext: 214
Contract Pharmacy Representative
imgRx
Cristie Pellegrini, National Pharmacy Director
(512) 596-2930 Ext: 706
Signed By Date
9/21/2015
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