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WALMART PHARMACY 10-2886
CH09311BU ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed - PECK
Type
HRSA-Funded Health Center
340B ID
CH09311BU
Entity Address
3703 Peck Rd
El Monte, CA 91731-3543
Grant Number
H80CS00142
Participating Start Date
4/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-2886
Pharmacy Address
8500 WASHINGTON BLVD
PICO RIVERA, CA 90660
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/2/2024
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
WellPartner
Kristen Danahy, Advisor/Manager, Account Management
(480) 364-2573
Signed By Date
7/3/2024
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